| NPI | 1851750780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK D WILLIAMSON Owner 251-661-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 4412) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 4413) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |