| NPI | 1962521229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA D. SPANN Owner 334-297-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5020) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-04-12 |