| NPI | 1417128174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT R LITTLE Dentist/General Practice 706-260-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA dn010339) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |