| NPI | 1356535629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J FLOWERS President 334-793-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 3098) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5232) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |