| NPI | 1639239627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H HULSEY President 706-543-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN009438) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |