| NPI | 1538673066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MCLAIN Office Consultant 334-524-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D4800) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |