| NPI | 1295887198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P BRUNSON Vice President 256-543-9572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5295) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |