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 |