| NPI | 1356540231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE M PITTS President 706-335-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN013095) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |