NPI | 1861673238 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE BAJJALIEH Dentist 205-802-7277 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5189) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2015-04-20 |