| NPI | 1881016491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE B MILLER Owner 334-446-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 5597) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-09-09 |