| NPI | 1609542984 |
|---|---|
| Doing Business As | FAYETTE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PERRY JOINER Owner 770-883-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |