| NPI | 1235471426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK C MILLER Dentist, Owner 334-361-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4949) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |