| NPI | 1740453034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J KIRKENDALL Owner/Dentist 256-536-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4441) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |