| NPI | 1336332014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PAUL TEAVER President 706-882-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 8592) |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2007-08-25 |