| NPI | 1972600195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SAINT FENNELL Owner 256-880-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4404) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-12-18 |