| NPI | 1730346321 |
|---|---|
| Former Legal Business Name | SHOALS SMILE BY DESIGN |
| Entity Type | Organization |
| Authorized Contact | ROBBIE L GALLOWAY Office Manager 256-314-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4664) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |