NPI | 1922710649 |
---|---|
Doing Business As | SEQUOIA DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | LEIGH BENNETT Owner/Provider 478-621-7657 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-12-14 |
Last Update Date | 2022-12-14 |