| NPI | 1700050036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P DIAZ Dentist/President 205-345-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4367) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |