NPI | 1780019695 |
---|---|
Doing Business As | STONECREEK DENTAL CARE -- HOOVER |
Entity Type | Organization |
Authorized Contact | RON BEASLEY Owner 205-979-6005 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL 3968) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2013-09-10 |
Last Update Date | 2016-08-30 |