| NPI | 1669721452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA TAYLOR ACREE Owner 229-883-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011294) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |