| NPI | 1629460787 |
|---|---|
| Doing Business As | DOTHAN PERIODONTICS & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | DANIEL M PITTMAN President 334-793-7232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: AL 5430) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |