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 |