| NPI | 1528576519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE TYLER CUMMINS Dentist/Owner 205-221-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 6280) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |