| NPI | 1376602631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN L GAITHER Owner 205-969-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 4636) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |