SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY

MOBILE, AL
NPI1336973999
Entity TypeOrganization
Authorized ContactWALTER P VICKERS
Owner
251-342-0380
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-08-27
Last Update Date2024-09-18
Business Address
SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY
6154 OMNI PARK DR
MOBILE, AL 36609-5195
Phone number: 251-414-5142
Mailing Address
SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY
6154 OMNI PARK DR
MOBILE, AL 36609-5195
Phone number: 251-414-5142