| NPI | 1780794214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI M WILLIAMS Owner/President 205-664-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AL 5008) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |