| NPI | 1083638746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ALAN CRUNK Owner 205-665-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4004) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-06-23 |