| NPI | 1285710889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAWFORD GLENN BADHAM President 205-595-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AL 3077) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |