NPI | 1669720405 |
---|---|
Doing Business As | ALABAMA COAST FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES VICTOR SHAMBURGER President 251-968-8789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3632) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2012-08-28 |