| NPI | 1750735759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMA MCDONALD Pediatric Dental Residency 256-606-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-17 |