| NPI | 1568550895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALEXANDER LEACH President 256-353-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3348) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |