| NPI | 1669531745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA N ROBERTS President 205-408-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |