NPI | 1871678219 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN FREDERICK SIGMAN Owner 706-323-2775 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA GA6477) |
Additional Taxonomies | 122300000X Dentist (Licence: GA GA012017) |
122300000X Dentist (Licence: GA GA10778) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2020-08-22 |