| NPI | 1346596715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL REDMOND President 205-325-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5213) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |