| NPI | 1396226858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BLAIR MORRIS Periodontist 256-651-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX ETN620) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |