| NPI | 1699639773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW GRAHAM Owner 256-347-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |