| NPI | 1275806770 |
|---|---|
| Doing Business As | AZALEA CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE ALLEN Office Manager 251-300-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |