| NPI | 1881859163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA K HERRING Dentist/Owner 912-238-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN012328) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |