| NPI | 1720413818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CANALES Orthodontist 205-540-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 6006) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 5635) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2014-02-06 |