| NPI | 1598811739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY J. BRADLEY Owner,Dmd 706-769-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA 010004) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2014-01-21 |