NPI | 1144342841 |
---|---|
Doing Business As | STONECREEK DENTAL-MONTGOMERY 2 |
Entity Type | Organization |
Authorized Contact | JON C MANN Doctor 334-265-9202 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-04 |
Last Update Date | 2017-06-05 |