| NPI | 1528153194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DEVANT KING President 256-831-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3105) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |