| NPI | 1629452636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN ALCIDE DENTREMONT Owner 251-943-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4021) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-11-09 |