| NPI | 1104996453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY LEE TAYLOR Orthodontist 256-351-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 4548) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2010-02-17 |