| NPI | 1194061903 |
|---|---|
| Doing Business As | CRESTLINE VILLAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CLARK DUNN Owner/Dentist 205-870-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 5606) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |