| NPI | 1528289154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DON SPILLERS Owner 478-953-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA 011023) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |