| NPI | 1922885094 |
|---|---|
| Doing Business As | PELL CITY ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SAMUELSON Owner 205-910-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |