| NPI | 1588755748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE ALLEN MCCAGHREN Doctor 256-353-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4449) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |