NPI | 1982422440 |
---|---|
Doing Business As | TWELVE DENTAL- CLANTON |
Entity Type | Organization |
Authorized Contact | MELISSA RAY Practice Manager 205-755-3530 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-10-02 |
Last Update Date | 2024-10-02 |