| NPI | 1437283025 |
|---|---|
| Other Name | CHILDRENS DENTISTRY AT GAINESVILLE |
| Entity Type | Organization |
| Authorized Contact | RENEE CAUGHEY Financial Manager 678-714-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA Ga12082) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-08-11 |