| NPI | 1982412300 |
|---|---|
| Doing Business As | OLD TOWN ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | CASEY CASTLE Director Of Payor Contracting 912-732-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |