| NPI | 1689777203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY C RYALS Dentist Owner 770-887-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 10242) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |