| NPI | 1932650769 |
|---|---|
| Doing Business As | FAIR HAVEN ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LILLIAN M. MITCHELL Dental Director 205-951-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |