| NPI | 1841355336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA MASCIADRI Owner 706-227-2502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA BM3609596) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |