| NPI | 1114321643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C CURTIS Dentist 256-245-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 5263) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |