| NPI | 1588105035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HARTSFIELD Owner 205-874-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 5331) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-09-25 |