| NPI | 1922113554 |
|---|---|
| Doing Business As | WEST GEORGIA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAURA V BAGLEY Manager 770-949-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 12185) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 7704) |
| 1223G0001X Dentist, General Practice (Licence: GA 6770) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-07-14 |