NPI | 1407223126 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS MARTINOLAS President 912-816-2155 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
1223E0200X Dentist, Endodontics | |
Enumeration Date | 2015-08-28 |
Last Update Date | 2016-12-06 |