| NPI | 1790917532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ADAM COLE President 256-216-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL 5676) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |