NPI | 1235247891 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMIAH JOHNSON STODDARD Partner 256-766-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 5097) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-08-22 |