| NPI | 1376833947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BILLINGSLEY RICHARDSON Dr. 334-270-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5586) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |