| NPI | 1720342694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHADWICK WILLIAMS President 706-825-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN012544) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2022-10-26 |