Organization
FOOTHILLS FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD H WALL DMD (OWNER)
(706) 865-2248
Entity
Organization
Contact information
Practice address
166 QUILLIAN ST, CLEVELAND, GA 30528-1431
(706) 865-2248
Mailing address
166 QUILLIAN ST, CLEVELAND, GA 30528-1431
(706) 865-2248
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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