| NPI | 1215016894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LEIGH SMITH Office 256-536-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AL 4532) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AL 5291) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |