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 |