| NPI | 1679614515 |
|---|---|
| Doing Business As | FLOYD COUNTY BOH- MOBILE DENTAL VAN |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WADE SELLERS Medical Director 706-295-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local (Licence: GA 025271) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-07-11 |