| NPI | 1295174571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEE DAVIS Dentist 205-523-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5359) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 6002c1) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-08-09 |