EMILY ANNE LATTA GRISHAM

HUNTSVILLE, AL
NPI1114309705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: AL  6215)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: AL  6215)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-06-19
Last Update Date2019-06-18
Business Address
Dr. EMILY ANNE LATTA GRISHAM D.M.D
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801-6403
Phone number: 256-539-7447
Mailing Address
Dr. EMILY ANNE LATTA GRISHAM D.M.D
4001 BALMORAL DR SW
HUNTSVILLE, AL 35801-6403
Phone number: 256-539-7447