| NPI | 1457541781 |
|---|---|
| Other Name | AU DENTAL ASSOCIATES DENTAL COLLEGE OF GA |
| Entity Type | Organization |
| Authorized Contact | DARRELL GENTRY Associate Dean, Finance / Business 706-721-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: GA 000179) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2023-04-13 |