| NPI | 1932510005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HOWARD Owner/Dentist 334-566-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AL 3340) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |