| NPI | 1528235215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY COOK CEO/Dentist 706-322-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 011954) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2024-10-16 |