| NPI | 1295790079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM J CITRANO Dentist/Owner 256-534-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 4772) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |