| NPI | 1376882043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ALLAN DILLARD Owner 205-988-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3931) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |