| NPI | 1225249006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W FORREST BRYANT Doctor 256-882-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4828) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |