| NPI | 1699427807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MECHAY GRAY General Dentist/Owner/Member 205-586-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |