| NPI | 1417376732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY SHORES DAVIS Owner/Dentist 205-478-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5641) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |