| NPI | 1609374164 |
|---|---|
| Doing Business As | NASSETTA PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD CHAMBLISS Owner 205-453-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 0005181) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |