NPI | 1558879817 |
---|---|
Doing Business As | TUSCALOOSA FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | KIMBERLY PARKER LEWIS Owner 205-451-3010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6039) |
Enumeration Date | 2018-01-19 |
Last Update Date | 2018-01-19 |