| NPI | 1043954647 |
|---|---|
| Doing Business As | PDA OF HOOVER, LLC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN EARL SAMUELSON Orthodontist/Owner 205-910-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |