| NPI | 1619721305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOUSTON ASHLEY Principal 205-870-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |