| NPI | 1942461587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DOYLE NETTLES Dentist 205-669-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5248) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |