| NPI | 1033484688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A DAVIS Owner 256-233-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3408) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 5520) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |