| NPI | 1295189595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JASON MANN Owner 478-733-0857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013536) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-07-11 |