| NPI | 1407556319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH MEIGAN MILLER Owner 706-485-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-09 |