| Azalea City Dental, Llc | |
|
1754 Government St Mobile AL 36604-1111 | |
| (251) 471-1516 | |
| (251) 471-8002 |
| Full Name | Azalea City Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1754 Government St, Mobile, Alabama |
| Authorized Official Name and Position | Tracy Woodall (OFFICE MANAGER) |
| Authorized Official Contact | 2514711516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea City Dental, Llc 1754 Government St Mobile AL 36604-1111 Ph: (251) 471-1516 | Azalea City Dental, Llc 1754 Government St Mobile AL 36604-1111 Ph: (251) 471-1516 |
| NPI Number | 1518127828 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518127828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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