| NPI | 1063523504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE ARTHUR STEINEKER President 334-277-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 3707) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 4694) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-08-08 |