| NPI | 1750460176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J KOWAN President 706-327-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 7888) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2013-11-26 |