| NPI | 1487916789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCGOWIN SCHAMBEAU President 205-428-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4737) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |