| NPI | 1457732588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA MONTGOMERY STAFFORD Owner 205-221-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 3788) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |