NPI | 1053652347 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY SCOTT FITTS President 256-230-5174 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5493) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |