| NPI | 1902376569 |
|---|---|
| Doing Business As | CORTLAND DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DALE MAYFIELD President 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223E0200X Dentist, Endodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |