Geneva Family Dentistry, LLC

NPI #1972863348 in Geneva, Alabama

Provider Information

NPI Number: 1972863348
Entity Type: Organization
Organization Name: Geneva Family Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: May 20, 2012
Last Updated: May 20, 2012

Practice Location

Address: 100 W LAKE PROFESSIONAL PARK
Address 2: SUITE 5
City: Geneva
State: Alabama
ZIP Code: 36340-1203
Phone: (334) 805-3975

Authorized Official

Name: JONATHAN DAVID MARKHAM, DMD
Title: SOLE MEMBER-OWNER
Phone: (334) 805-3975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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