| NPI | 1467550327 |
|---|---|
| Doing Business As | PROVIDENCE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SEWAH PERSAUD Owner/Dentist 256-489-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5091) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |