| Foothills Family Dental Llc | |
|
166 Quillian St Cleveland GA 30528-1431 | |
| (706) 865-2248 | |
| Not Available |
| Full Name | Foothills Family Dental Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629842505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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