NPI | 1417283730 |
---|---|
Doing Business As | THE DENTURE PLACE |
Entity Type | Organization |
Authorized Contact | EARL DOUGLAS HENSON Owner 770-957-1113 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN007434) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013862) |
Enumeration Date | 2009-10-21 |
Last Update Date | 2009-10-21 |