| NPI | 1497962997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY WAYNE ARNOLD President 478-757-9620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA 011189) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-07-23 |