| NPI | 1598881716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH K CARROLL Corporate Secretary 334-745-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 3156) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |