| NPI | 1689063711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANNE T NEVINS President Of Pc 334-467-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4591) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |