| NPI | 1558814384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ROGER WILSON President 205-275-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL D 6089 C1) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |