| NPI | 1275649279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HERSCHEL POWELL Owner/Dentist 706-227-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN008795) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |