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 |