NPI | 1043068125 |
---|---|
Doing Business As | STARKVILLE DENTAL |
Entity Type | Organization |
Authorized Contact | LIZZ S DAIGNEAULT Admin Director 256-783-9468 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-08-27 |