| NPI | 1891959151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY JANE BARROW Office Manager 251-867-6837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 2510) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |