| NPI | 1215323803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. DOUGLAS SMITH Dentist 334-793-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3365) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |