| NPI | 1841469210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONA GURLEY Office Manager 478-471-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 011926) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |