| NPI | 1912506700 |
|---|---|
| Doing Business As | MIDDLE GA CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CURTIS O HAYSLIP Dentist / Owner 478-929-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |