| NPI | 1376727826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. BUETTNER Owner 334-279-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 4076) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 5417) |
| 122300000X Dentist (Licence: AL 5636) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2013-12-11 |