| NPI | 1114031135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRU HOPE WASHBURN Office Manager 334-821-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 5247AL) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 4053AL) |
| 122300000X Dentist (Licence: AL ETD0007) | |
| 122300000X Dentist (Licence: AL 5477) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |