| NPI | 1497997795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HUGHES FUQUA Owner 334-749-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AL MD28533) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2020-07-30 |