| 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 |