| NPI | 1376623280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI COOPER COLQUITT President/Periodontist 205-785-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AL 5033) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |