| NPI | 1063926426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES KINSEY President 256-820-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 3946) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |