| NPI | 1669698577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE LOUIS DYER President 706-745-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10023) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2010-08-09 |