| NPI | 1912276833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PETTUS BUCK Oral Maxillofacial Surgeon 205-933-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AL 4145) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |