| NPI | 1932290400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSAMOND STERLING SHAW Owner/ Dentist 205-823-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3545) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |