| NPI | 1841458569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SANDLIN Dentist 334-887-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5446) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |