| NPI | 1588733299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A PATTERSON Member 256-574-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 03792) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-06-11 |