| NPI | 1538672787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHANASIOS KOKKAS Manager 205-999-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN16761) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN16761) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |