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 |