NPI | 1720803976 |
---|---|
Doing Business As | FAMILY DENTAL HEALTH OF AUGUSTA |
Entity Type | Organization |
Authorized Contact | BETH LOUISE ILLSLEY Director Of Insurance 864-282-1935 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-11-21 |
Last Update Date | 2024-11-21 |