NPI | 1720497324 |
---|---|
Doing Business As | SANDFLY FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ANGELA C CANFIELD Dentist/Owner 912-713-1398 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: GA DN013083) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-09-18 |