NPI | 1881861631 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN D. STANLEY Dentist/Vice President 334-358-6411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5199) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL 2865) |
1223P0221X Dentist, Pediatric Dentistry (Licence: AL 4869) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5053) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: AL 5221) | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2015-10-01 |