| NPI | 1912035536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRICE THOMAS President Owner 334-260-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4964) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-02-27 |