| NPI | 1356488118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN S HARGETT Dentist Owner 478-922-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA BH9281813) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-10-10 |