Quitman Family Dentistry LLC

NPI #1639426836 in Quitman, Georgia

Provider Information

NPI Number
1639426836
Entity Type
Organization
Organization Name
Quitman Family Dentistry LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 7, 2012
Last Updated
Aug 7, 2012

Practice Location

Address
1306 E. SCREVEN STREET
State
Georgia
ZIP Code
31634
Phone
(229) 263-8700

Authorized Official

Name
DR. LARRY M BLACK JR., DMD
Title
OWNER
Phone
(229) 263-8700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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