| NPI | 1346769114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SALDANA Financial Coordinator 205-879-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5122) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |