| NPI | 1174912422 |
|---|---|
| Doing Business As | USAVEDENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICK BRITTON KELLY Dentist 251-970-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 4713) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |