| NPI | 1154720571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHNSON MCCAIN Owner/Denstist 205-960-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 6027) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |