NPI | 1194177212 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN M STEWART Office Manager 334-281-2451 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 21936) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2016-07-13 |