| NPI | 1821383035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY MATHEWS GAUNT Owner 334-673-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4432) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |