| NPI | 1700056124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD B CHAMBLISS President 205-338-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL LNO5181) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |