| NPI | 1336635895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W FRERICH Owner/Dentist 334-219-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 6491C) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |