| NPI | 1497399547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LAW Orthodontist 205-855-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |