| NPI | 1740663970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY G GRIGGS Owner 256-216-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 5166) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |