| NPI | 1013016328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE P HEBERT Office Manager 256-332-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3699) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |