| NPI | 1588940431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WELLS HAMMOCK Owner/Dentist 251-928-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5316) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |