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 |