| 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 |