| NPI | 1437575271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY F ALLGOOD President 251-625-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 2014-575) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |