| NPI | 1275059941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN KELLEY BAILEY Owner Doctor 205-566-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AL 4213) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |