NPI | 1134359664 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL LEE MORRIS Physician 256-712-5096 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AL 4975) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2009-07-17 |