NPI | 1336583640 |
---|---|
Doing Business As | MONROVIA FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ADAM B. JORDAN President/Dentist 256-830-5412 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5408) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2013-04-18 |