| NPI | 1932550431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK YANOSKY Owner 205-870-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 5031) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2016-06-26 |