| NPI | 1023289998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG D SCHMIDTKE Oral Surgeon/Owner 334-699-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AL 5391C) |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: AL 5391C) |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: AL 5391C) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |