| NPI | 1518078674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BAKER CHAMBLISS President 205-453-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5181) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |