| NPI | 1083446025 |
|---|---|
| Doing Business As | BIRMINGHAM EMERGENCY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRENNAN HANSEN Owner 307-315-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |