Foothills Family Dental Llc | |
166 Quillian St Cleveland GA 30528-1431 | |
(706) 865-2248 | |
Not Available |
Full Name | Foothills Family Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 166 Quillian St, Cleveland, Georgia |
Authorized Official Name and Position | Edward H Wall (OWNER) |
Authorized Official Contact | 7068652248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foothills Family Dental Llc 166 Quillian St Cleveland GA 30528-1431 Ph: (706) 865-2248 | Foothills Family Dental Llc 166 Quillian St Cleveland GA 30528-1431 Ph: (706) 865-2248 |
NPI Number | 1629842505 |
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Provider Enumeration Date | 11/10/2023 |
Last Update Date | 11/10/2023 |
Identifier | Type | State | Issuer |
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1629842505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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