| NPI | 1730682030 |
|---|---|
| Doing Business As | JUBILEE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DALE MAYFIELD President 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23525) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-08-23 |