| NPI | 1215301700 |
|---|---|
| Doing Business As | FLINT RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | LESLIE D DEERMAN Office Administrator 256-859-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5585) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |