| NPI | 1235581695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD CHANEY LITKENHOUS Business Owner/Dentist 334-821-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 5340) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |