NPI | 1194803239 |
---|---|
Doing Business As | COSMETIC DENTISTRY OF THE SHOALS |
Entity Type | Organization |
Authorized Contact | JAMES A RYERSON Member Dentist 256-381-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL 2974) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |