| NPI | 1649457607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL VANESSA MYRIE Owner 256-721-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL AL5018) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |