| NPI | 1659432532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOCH M. SMART President 334-271-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 4739) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |