NPI | 1548698004 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY FRANKLIN FOXWORTH President 334-272-1677 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AL 4374) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 2341) |
Enumeration Date | 2013-10-21 |
Last Update Date | 2013-10-21 |