| NPI | 1952773749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BRENT MCFARLAND Owner 334-793-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 3054) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |