| NPI | 1437201365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY R LEERSSEN President 706-322-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN008949) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-02-17 |