| NPI | 1215679444 |
|---|---|
| Doing Business As | TALLASSEE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S ROSE President 205-370-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |