| NPI | 1497866735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEVEN GARDNER President 256-533-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 4480) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 4510) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |