| NPI | 1598931321 |
|---|---|
| Doing Business As | DENTAL HYGIENE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | THOMAS MCDANIEL Supervising Dentist 706-295-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DNF000218) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |