| NPI | 1487189528 |
|---|---|
| Doing Business As | MOORES MILL DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ERNEST JASON WASHBURN Doctor/Owner 334-750-5720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 5247) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 5120) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |