| NPI | 1275770901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE FERREIRA Share Holder 205-910-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AL 5401) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |