| NPI | 1053182055 |
|---|---|
| Doing Business As | UAB DENTISTRY DOTHAN |
| Entity Type | Organization |
| Authorized Contact | JACQUISELYN STORY Director Business Office 205-934-5088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |