| NPI | 1770925430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE K DAVIS Owner/Dentist 205-699-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5771) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |