NPI | 1407568926 |
---|---|
Former Legal Business Name | A. LANOY ALSTON, DMD, PC |
Entity Type | Organization |
Authorized Contact | LAN ALLEN Manager 520-886-8503 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2022-12-15 |
Last Update Date | 2023-01-31 |