| NPI | 1841396934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A TODD Orthodontist 205-979-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 4115) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 4818) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 3898) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |