| NPI | 1366929812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HINES BISHOP Owner 256-506-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3481) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |