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Organization
BAICBCCKMFA LLC
Active
Organization
BAICBCCKMFA LLC
Active
Other names
Dental Wellness Centers of GA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HOWARD TROUT JR. DMD (OWNER DENTIST)
(912) 355-1512
Entity
Organization
Contact information
Practice address
5209 PAULSEN STREET, SAVANNAH, GA 31405-4804
(912) 355-1512
(912) 330-1018
Mailing address
P.O. BOX 401, SAVANNAH, GA 31402
(912) 355-1512
(912) 330-1018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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