| NPI | 1841374899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD TODD CHAMBLISS Pediatric Dentist 251-447-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 4830) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |