| NPI | 1659819613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA COX Pediatric Dentist 229-254-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014313) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |