| NPI | 1376018200 |
|---|---|
| Doing Business As | FAIRHOPE BAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | AARON AVERY Owner 251-928-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |