| NPI | 1013090547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GREEN KING President 334-821-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5339) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |