| NPI | 1609930296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRICE L THOMAS President Dentist 334-260-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4964) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-05-12 |