| NPI | 1962607804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J UTERMARK Doctor Pediatric Dentistry And Pres 706-860-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA 8593) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |