| NPI | 1952581936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA R WARREN-BYERS Owner Dentist/President 256-539-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 4890) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |