| NPI | 1871738542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JOSEPH CUMBUS Owner 334-277-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 2988) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5462) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |