| NPI | 1760116818 |
|---|---|
| Doing Business As | GRAND BAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | GREGORY L KENNEDY Doctor / Owner 251-865-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |