| NPI | 1205312493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL GREGORY HAWKINS Dentist 256-353-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4231) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |