NPI | 1871145557 |
---|---|
Doing Business As | DOGWOOD PEDIATRIC DENTISTRY OF STATESBORO |
Entity Type | Organization |
Authorized Contact | KRISTA HINCHEY Owner 912-402-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-07-12 |
Last Update Date | 2019-07-12 |