| NPI | 1659426542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY M MURNS Asst. Practice Administrator 912-355-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN007080) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-06-04 |