NPI | 1649648858 |
---|---|
Doing Business As | MADISON DENTAL CARE |
Entity Type | Organization |
Authorized Contact | TERRY A BURGESS Dentist/Owner 256-772-2626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AL 4219) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2016-06-03 |