| NPI | 1538590864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH DAVID RODEN President 205-870-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AL 5228) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |