| NPI | 1861670143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL C D'ARCO Owner 706-228-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN011130) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2012-10-30 |