| NPI | 1447815931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. SHAWN BURL Owner 205-254-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-06-11 |