NPI | 1215246822 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLI ALBRITTON Dentist Owner (Partner) 205-382-1711 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 5632) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AL 5630) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2010-09-29 |