| NPI | 1144660945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE G. JACKSON Pediatric Dentistry Program Directo 205-934-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |