| NPI | 1225326861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY VINTON THOMSON O 205-823-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3555) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |