NPI | 1275429383 |
---|---|
Other Name | AUTAUGA STATION DENTAL |
Entity Type | Organization |
Authorized Contact | ZACKERY ETHAN EADES Doctor/Owner 205-913-1969 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-06-16 |
Last Update Date | 2025-06-16 |