NPI | 1871857631 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIE B MCCARLEY Pediatric Dentist/Owner 706-221-2305 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA D013893) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2012-06-26 |