| NPI | 1265933840 |
|---|---|
| Doing Business As | DENTAL WELLNESS CENTER ON PAULSEN |
| Entity Type | Organization |
| Authorized Contact | WILLIAM HOWARD TROUT Owner/Manager Member 912-445-5337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA D10747) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |