NPI | 1487846317 |
---|---|
Doing Business As | DORSETT DENTISTRY |
Entity Type | Organization |
Authorized Contact | DALE GARY MAYFIELD President 770-916-5036 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2007-08-14 |
Last Update Date | 2018-08-29 |