| NPI | 1982002150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALAN AULTMAN Dentist/Owner 205-812-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 6085) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |