| NPI | 1356606461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDON MCLAIN Surgeon 256-429-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: AL 28817) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: AL 5212) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2013-01-15 |