| NPI | 1043698723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G BARHAM Dentist/Owner 256-878-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4214) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |