| NPI | 1205194297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DAVID JOHNSON Owner 205-271-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 3061) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |