NPI | 1053585067 |
---|---|
Doing Business As | GARDENDALE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | THOMAS ARTHUR DOUYARD President 205-631-1879 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL 3413) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |