| NPI | 1093105272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MARECLE MARSHALL General Dentist / Co Owner 256-338-8082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL D.5828 C1) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AL D.5839 C1) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |