| NPI | 1518119718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLIN S JOHNSON Dentist/Owner 229-226-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013177) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |