| NPI | 1720128226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE WELCH ROBERTS President 706-494-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011640) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-01-17 |