| NPI | 1982079042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ADAM COLE Owner/President 256-777-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5676) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |