| NPI | 1902926181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL LOWREY Pres 256-536-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 2920) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-12-12 |