| NPI | 1952467805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B AVERY President 706-798-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9136) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-01-21 |