| NPI | 1235357609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA C. HUNTER Office Manager 256-533-1723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: AL 2997) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |