| NPI | 1447681861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. GREENLEAF Dentist/Owner 251-634-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5075) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |