| NPI | 1427296094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MCDONALD Owner 706-548-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 9015) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |