| NPI | 1801374871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE W. TEICHMILLER Owner 256-350-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4411) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |