| NPI | 1770694432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL WINSTON NOONAN Corporation President 251-626-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL LNO 4656) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |