| NPI | 1275925265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ABT Owner/Provider 205-470-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AZ 8911) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-07-23 |