| 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 |