| NPI | 1902237118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAY PATRICK General Dentist 229-227-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014700) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |