| NPI | 1962788497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET H HARRISON President 478-453-7535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 581385985) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |