| NPI | 1528515186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M SMITH President 706-376-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 2016015046) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |