| NPI | 1871622027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TAYLOR SPINK Owner 205-967-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3706) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |