| NPI | 1174867014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H DOOBROW Owner/Periodontist 256-734-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: AL 5578) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |