NPI | 1932282563 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN PAGITT Financial COO Rdinator 228-896-4325 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: GA PER24293) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |