| NPI | 1073339024 |
|---|---|
| Doing Business As | DOGWOOD DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC JACOBS Dentist Owner 770-926-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |