| NPI | 1912767039 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF BLAIRSVILLE |
| Entity Type | Organization |
| Authorized Contact | JORDANA C FREITAS Owner/ Dentist 678-665-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-29 |