NPI | 1114390325 |
---|---|
Doing Business As | OAK MOUNTAIN PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFFREY HARRIS FLANNERY Manager 205-613-6475 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 6049) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-30 |