| NPI | 1023615762 |
|---|---|
| Doing Business As | LUMA DENTISTRY CRESTLINE |
| Entity Type | Organization |
| Authorized Contact | CHRISTIE KNIGHT Revenue Cycle Director 205-477-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |