| NPI | 1932628930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A REECE Sole Proprietor 256-259-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 4319) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |