| NPI | 1700273208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R MILLER Physician/Owner 256-265-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AL 25550) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |