| NPI | 1164637732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THURMAN MANN Dentist 256-766-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4646) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-07-23 |