Organization
DWC-P LLC
Active
Parent organization
WHTDMDLLC DBA DENTALWELLNESSCENTERS
Other names
Dental Wellness Center on Paulsen
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHTDMDLLC DBA DENTALWELLNESSCENTERS
Authorized official
DR. WILLIAM HOWARD TROUT JR. DMD (OWNER/MANAGER MEMBER)
(912) 445-5337
Entity
Organization
Contact information
Practice address
5209 PAULSEN STREET, SAVANNAH, GA 31405
(912) 355-1512
(912) 355-1218
Mailing address
10104 FORD AVENUE, SUITE G, RICHMOND HILL, GA 31324
(912) 445-5337
(888) 289-4301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10747
GA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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