| NPI | 1396246906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ASHLEY Owner 205-870-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: AL 31809) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |