NPI | 1265970487 |
---|---|
Doing Business As | PETZNICK DENTAL |
Entity Type | Organization |
Authorized Contact | PAUL GASTON PETZNICK Dentist 205-326-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4316) |
Enumeration Date | 2017-02-08 |
Last Update Date | 2017-02-08 |