| NPI | 1205319605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY WEST Office Manager 205-982-0112 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |