| NPI | 1942174370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LAUREN SHARP NEWTON Member 256-355-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |