| NPI | 1316152507 |
|---|---|
| Doing Business As | DIXIE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN W AMBURGEY President 251-626-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 2524) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 3567) |
| 122300000X Dentist (Licence: AL 4347) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |