| NPI | 1134292196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KEITH WOODALL Orthodontist President 334-749-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 2832) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |