| NPI | 1265024616 |
|---|---|
| Doing Business As | VESTAVIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAUREN S DAIGNEAULT Admin Director 256-783-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2023-07-03 |