| NPI | 1326397381 |
|---|---|
| Doing Business As | PARK PLACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELLE MALDON Owner 205-323-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5722) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2013-05-28 |