| NPI | 1952605388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE R LESTER President 205-991-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL AL5249) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |