| NPI | 1548311293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M ROTHMAN Owner 205-933-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AL 5095) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |