| NPI | 1427548353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA HARPER DAILEY Dentist/Owner 706-201-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 8214) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |