| NPI | 1588183289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HUANG Dentist 205-533-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-03-18 |