| NPI | 1003166281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN POWELL Manager 205-538-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5627) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |