| NPI | 1992934855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASSEN ALLEN ANTHONY President 256-355-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5673) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2010-06-23 |