| NPI | 1508957283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B EMBRY Owner 256-760-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 5158) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN DS0000007514) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-09-23 |