| NPI | 1902019110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A HARRIS Owner 706-324-5627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-08-25 |