| NPI | 1326212424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH W PISCHKE Vice President 912-352-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA AP009191) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |