| NPI | 1487028031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ANN ROUTHIER Owner 912-352-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012205) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2017-02-03 |