| NPI | 1700191665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY SCOTT FITTS Owner 256-216-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5493) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |