| NPI | 1750521761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ERSKINE BOLT Doctor 205-921-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5519) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |