| NPI | 1568702074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS PHILLIPS Owner/Dentist 256-831-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 4871) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |