| NPI | 1982912200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED H HASSAN President/Dentist 334-699-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL 5449) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |