| NPI | 1831328004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES OSBORN Owner 334-875-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 3063) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 5695) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2018-07-23 |