| NPI | 1801814157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH B LIVEOAK Owner 256-882-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3865) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |