| NPI | 1689124158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DEVILLIERS Owner 205-790-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21483) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-09 |