| NPI | 1750782827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RICE Dentist/Owner 205-504-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 5698) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 5185) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |