| NPI | 1245612324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD MANN President 256-881-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3526) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |