NPI | 1396023933 |
---|---|
Doing Business As | GROVETOWN FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JULIA NICOLE WHEELER Owner / Dentist 706-831-0678 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014255) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-08-01 |