| NPI | 1447363387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY GRADY SWICORD Doctor 205-251-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4051) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-06-13 |