| NPI | 1083069579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT L BRADFORD President 256-259-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL D6098) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |