Organization · Type 2 NPI
Bayou la Batre Area Health Development Bd.inc.
Dental Clinic/Center · Bayou La Batre, AL
NPI number
1194770669
Active
Practice location
1340 North Wintzell Ave.
Bayou La Batre, AL 36509
Fax (251) 824-4337
Mailing address
PO Box 769
Bayou La Batre, AL 36509-0769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 2006-293 (AL) |
Dental Clinic/Center: Definition to come...
About NPI 1194770669
Bayou la Batre Area Health Development Bd.inc.'s National Provider Identifier is 1194770669, issued on May 23, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bayou La Batre, AL. The record was last updated on Apr 20, 2008.