| NPI | 1457571218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. EDWARD WALKER President 256-533-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL ALCS2938) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |