| NPI | 1558851832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REID SPIVEY Owner/Dentist/Manager 205-310-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NC 10445) |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2018-05-13 |