NPI | 1043504046 |
---|---|
Doing Business As | VESTAVIA HILLS PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | FLYNT GILBERT PURVIS President 205-874-6206 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5607) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2013-02-07 |