| NPI | 1548433329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PIERSON KORNEGAY Owner 334-285-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL CS3863) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |