| NPI | 1649303355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA CAROL WHITE Owner 205-384-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 4967) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |