| NPI | 1427495969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE Z BOWMAN Dentist 256-467-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5831) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-08-14 |