NPI | 1467937466 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM BLAKE GRAHAM Insurance Department Manager 205-647-3181 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-09-26 |
Last Update Date | 2018-09-26 |