NPI | 1053335687 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MARIE MORRISSEY-PATTON President 205-989-8480 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL AL5055) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-08-22 |