| NPI | 1427762111 |
|---|---|
| Former Legal Business Name | CARTER, SLEDGE, WATTS, LAKE HARBOUR DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAUREN S DAIGNEAULT Admin Director 256-783-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-07-07 |