| NPI | 1033325105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK WAYNE PALESTINI Dentist President Of Wayne Palestin 205-781-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 2636) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-11-27 |