| NPI | 1891335857 |
|---|---|
| Doing Business As | MIDTOWN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DONALD E WALTMAN Managing Member 251-473-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |