| NPI | 1073640785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J GOEHRING Owner 334-271-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AL 2941) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-10-20 |