| NPI | 1497244438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT V LAW Owner 912-384-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL D6253C) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |