| NPI | 1619901808 |
|---|---|
| Former Legal Business Name | MICHAEL O. VERNON, DMD, PC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL MOLDOVAN Owner/Dentist 706-860-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 012377) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 8815) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-07-14 |