| NPI | 1942693296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON GOOCH Owner/Doctor 205-991-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5484) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2019-02-20 |