| NPI | 1033550249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LECROY Owner/Dentist 205-822-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 5936 C1) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |