| NPI | 1144373556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER FRANK CRIM President 256-539-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL AL2797) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |