| NPI | 1730666306 |
|---|---|
| Doing Business As | VALLEY WIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JORDAN H TAYLOR President 256-694-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 6096) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |