| NPI | 1609993591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WORTHINGTON Owner 334-347-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5323) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |