| NPI | 1790816239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MATTHEW COOK Owner 205-849-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5397) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |