| NPI | 1417250937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN CHAPIN WADSWORTH Prosthodontist 205-402-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: AL 5650) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |