| NPI | 1760915714 |
|---|---|
| Doing Business As | DECATUR COMPREHENSIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRIAN G ONDOCSIN Partner 256-350-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |