NPI | 1659574499 |
---|---|
Doing Business As | DOUBLE OAK MOUNTAIN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES W SAMFORD Owner 205-991-8850 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5347) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2013-02-19 |