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 |