| NPI | 1013485374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRETT WOOD Orthodontist 334-874-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |