| NPI | 1821419847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON K PATRICK Dentist/Owner 229-220-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012576) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |