| NPI | 1427126069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN BRYAN MCDONALD Owner Dental Practice 256-820-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 3442) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-02-05 |