| NPI | 1356595748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED JONES HARRIS Dentist/Owner 706-216-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 011586) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA 011811) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2010-02-04 |