| NPI | 1356851323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANUEL CAWLEY Dentist 334-286-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4147) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |