| NPI | 1629453717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN HARGETT Owner 478-929-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013090) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |