NPI | 1386341279 |
---|---|
Doing Business As | TRUSSVILLE DENTISTRY |
Entity Type | Organization |
Authorized Contact | WESLEY LATIMER Owner 404-625-0120 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-02-10 |