| NPI | 1457876427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BENNETT STRICKLAND Office Manager 251-554-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AL 5967C1) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |