NPI | 1982907473 |
---|---|
Doing Business As | BAILEY COVE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CLIFTON FRAZIER President 256-650-0724 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2010-12-06 |
Last Update Date | 2019-07-10 |