Fairhope Modern Dental, Pc Valid NPI
Organization · Dental Clinic/Center · Fairhope, AL
- NPI
- 1053811067
- Type
- Organization (Type 2)
- Primary specialty
- Dental Clinic/Center (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QD0000X
- License number
- 5616 (AL)
- Enumerated
- 2018-02-16
- Last updated
- 2018-02-16
Practice location
106 Lottie Ln
Fairhope, AL 36532-2995
(251) 928-0400