| NPI | 1881389658 |
|---|---|
| Former Legal Business Name | STONECREEK DENTAL OF ALABAMA,LLC |
| Entity Type | Organization |
| Authorized Contact | VERONICA JACKSON Revenue Cycle Manager 205-919-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |