| NPI | 1427252196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE JEAN WERMUTH Dentist 912-898-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN012163) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-10-15 |