| NPI | 1255740122 |
|---|---|
| Other Name | MOBILE BAY DENTAL & VISION |
| Entity Type | Organization |
| Authorized Contact | LANCE HANKINSON Owner 251-706-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5226) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-779-TA-178) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2016-12-08 |