NPI | 1831351188 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES J. BALDONE President 205-907-3004 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4140) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2008-06-27 |