| NPI | 1326210139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J CASSIDY Owner 706-226-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA 9623) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |