| NPI | 1609941715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY HARRELL BULLARD President 334-272-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4146) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2015-07-10 |