NPI | 1407325343 |
---|---|
Doing Business As | WEST AUGUSTA DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | GREGORY ALAN CLEPPER Dentist 706-738-8070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-11-21 |
Last Update Date | 2018-11-21 |