| NPI | 1619403607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR LUNA President / Owner 205-988-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 17019486) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |