| NPI | 1447511738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FROUDE Sole Owner 912-727-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013857) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2012-06-03 |