| NPI | 1922420074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET G MOORE CEO 478-333-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN012955) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |