| NPI | 1063618528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES REW GREENLEAF Owner, Dentist 334-826-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5385) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |