| NPI | 1588682314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN MEON President 205-988-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 3056) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |