| NPI | 1851585079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLARK THOMAS President 205-982-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AL 5122) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |