| NPI | 1184784290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LEE PARKER Dentist 205-856-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 2781) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |