FRESH WAVE DENTAL CARE
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1134392517- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 812 BOLL WEEVIL CIR, ENTERPRISE, AL, 363302079
- Phone
- (334) 347-9283
Specialties & Taxonomies
Dentist
Primary License: AL #4810