| NPI | 1194088385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PIERCE Registered Agent 334-792-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3619) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |