| NPI | 1013256650 |
|---|---|
| Doing Business As | FAIRHAVEN ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LILLIAN M MITCHELL Dental Director 205-951-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |