| NPI | 1528548955 |
|---|---|
| Doing Business As | COOSA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALTON CRUMP Owner 256-438-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |