| NPI | 1053811067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOSEPH KNIGHT President 256-828-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5616) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |