| NPI | 1124664743 |
|---|---|
| Doing Business As | FOOTHILLS DENTAL |
| Entity Type | Organization |
| Authorized Contact | DALLAS BURNETT CEO 864-415-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2021-11-04 |