NPI | 1689124158 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA DEVILLIERS Owner 205-790-5866 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21483) |
Enumeration Date | 2016-10-09 |
Last Update Date | 2016-10-09 |