| NPI | 1639642176 |
|---|---|
| Doing Business As | CENTRAL GEORGIA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAUREN HOWARD Credentialing Specialist 724-698-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |