NPI | 1003136615 |
---|---|
Entity Type | Organization |
Authorized Contact | TABITHA JARMAN GATREY Owner/Dentist 205-451-7029 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5647) |
Enumeration Date | 2010-06-04 |
Last Update Date | 2010-10-19 |