| NPI | 1548123722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANITA HUCKS-SMITH Owner 912-755-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |