| NPI | 1245323203 |
|---|---|
| Former Legal Business Name | ACTON ROAD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ADAM BLAKE GRAHAM D.Md 205-647-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-10-03 |