Foothills Family Dental LLC

NPI #1629842505 in Cleveland, Georgia

Provider Information

NPI Number
1629842505
Entity Type
Organization
Organization Name
Foothills Family Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 10, 2023
Last Updated
Nov 10, 2023

Practice Location

Address
166 QUILLIAN ST
State
Georgia
ZIP Code
30528-1431
Phone
(706) 865-2248

Authorized Official

Name
DR. EDWARD H WALL, DMD
Title
OWNER
Phone
(706) 865-2248

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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