| NPI | 1497933253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA J BUFF Office Manager 334-321-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5221) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 1223PO221X) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |