| NPI | 1649681289 |
|---|---|
| Doing Business As | PARKS AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DARLENE GUTTRIDGE Owner 256-259-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5749 C1) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |