| NPI | 1205598315 | 
|---|---|
| Doing Business As | DENTAL WELLNESS CENTERS OF GA | 
| Entity Type | Organization | 
| Authorized Contact | WILLIAM HOWARD TROUT Owner Dentist 912-355-1512  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2021-10-06 | 
| Last Update Date | 2021-10-06 |