| NPI | 1457872939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN DUFFY GIBSON Dentist/Owner 256-237-0603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AL 6325) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-21 |