| NPI | 1184095374 |
|---|---|
| Doing Business As | SNELLVILLE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID VICKERS Owner 912-383-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN010714) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |