| NPI | 1891119533 |
|---|---|
| Former Legal Business Name | KEVIN L. RAGSDALE, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | KEVIN L. RAGSDALE Owner 706-275-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010165) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |