| NPI | 1154490266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P BRADY FARR President 256-543-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 2850) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |