| NPI | 1477922284 |
|---|---|
| Doing Business As | JUST KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES DOUGLAS MARTIN Dental Director 205-991-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 4182) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |