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119 Arlington Dr Madison AL 35758-1774 | |
| (256) 461-4184 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 119 Arlington Dr, Madison, Alabama |
| Authorized Official Name and Position | Sarah Michelle Withrow (DENTIST/SOLE MEMBER/OWNER) |
| Authorized Official Contact | 2563371147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
119 Arlington Dr Madison AL 35758-1774 Ph: (256) 461-4184 | 119 Arlington Dr Madison AL 35758-1774 Ph: (256) 461-4184 |
| NPI Number | 1447598115 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 01/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447598115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5645 (Alabama) | Primary |
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