| NPI | 1043530892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G FRED ATWELL President 256-236-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AL 3652) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |