| NPI | 1568536522 |
|---|---|
| Doing Business As | MAHOLICK INNOVATIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS MAHOLICK Owner / Dentist 706-494-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA GADN012555) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-05-14 |