| NPI | 1457542177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KANE FULTON Owner/ Manager 205-822-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5304) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |