| NPI | 1154974277 |
|---|---|
| Doing Business As | CAMELLIA DENTAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GEORGE HOLLAND Chief Financial Officer 205-292-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |