| NPI | 1821425307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI POPE STANLEY President/Owner/CEO 205-908-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5593) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2016-12-01 |