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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