| NPI | 1336556646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED ADRIAN CARTER Owner 256-638-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 6078) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |