| NPI | 1982994653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY DUTTON Practice Manager 205-478-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AL AL2415) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |