| NPI | 1689217309 |
|---|---|
| Doing Business As | STONECREEK DENTAL OF ALABAMA |
| Entity Type | Organization |
| Authorized Contact | VERONICA JACKSON Credentialing Manager 205-919-1750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |