| NPI | 1699162834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD HERBERT WEHBY President 205-281-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AL 3285) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 3285) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |