NPI | 1891954970 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN B. INGRAM President 256-447-6071 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3942) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2008-06-04 |