| NPI | 1932354727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY CARVER Financial Coordinator 205-339-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4859) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL 5007) |
| 1223G0001X Dentist, General Practice (Licence: AL 5240) | |
| 1223G0001X Dentist, General Practice (Licence: AL 5467) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |