| NPI | 1447309703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK NEWTON DYE Managing Member 912-355-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN013166) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: GA 7123) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |