| NPI | 1528371903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PARHAM Front Office 256-355-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2021-02-08 |