| NPI | 1235227828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN NICROSI Dentist 205-631-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 4725) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 3725) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |