| NPI | 1962793893 |
|---|---|
| Doing Business As | DANDRIDGE DENTAL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOLE DANDRIDGE Owner 334-699-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 5492) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |