| NPI | 1619229010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE THOMAS Office Manager 256-529-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4489) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |