Organization Name: | TENDER TOUCH DENTISTRY, PC |
NPI Number: | 1154589265 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLANREWAJU OLUWAROTIMI ROTOWA (OWNER) |
Mailing Address: | 136 W Belmont Dr Suite 4 Calhoun |
State: | GA US |
Postal Code: | 307013064 |
Phone Number: | 7066258151 |
Fax Number: | 7066258270 |
NPI Enumeration Date: | 05/26/2008 |
NPI Last Update Date: | 05/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DN013409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |