NPI | 1629852157 |
---|---|
Doing Business As | FAMILY DENTAL HEALTH OF FOREST ACRES LLC |
Entity Type | Organization |
Authorized Contact | BETH LOUISE ILLSLEY Director Of Insurance 864-282-1935 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |