NPI | 1295264141 |
---|---|
Doing Business As | TALLASSEE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SARA NORTHCUTT Owner 615-319-4918 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 6397) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2017-06-05 |