| NPI | 1861085524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BATES Orthodontist/Owner 256-520-8968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2021-02-14 |