| NPI | 1750552923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER LORANDAL STEWART Orthodontist 706-882-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN007648) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |