NPI | 1417465055 |
---|---|
Entity Type | Organization |
Authorized Contact | PAM DAVIS BROWNING Office Manager 205-655-3939 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4386) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2018-01-17 |