| NPI | 1043311392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINAH S BURROWS Business Manager 334-277-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-07-21 |