| NPI | 1972793339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSEL KEITH CALVERT Dentist 205-836-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 2703) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |