| NPI | 1518273259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARK GRAY President 205-853-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5006) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |