| Island Orthodontics Mobile | |
|
4720 Aiport Blvd Suite B Mobile AL 36608 | |
| (251) 344-7604 | |
| Not Available |
| Full Name | Island Orthodontics Mobile |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4720 Aiport Blvd, Mobile, Alabama |
| Authorized Official Name and Position | Renee Dyken (OWNER/ORTHDONTIST) |
| Authorized Official Contact | 2512233896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Orthodontics Mobile 4720 Aiport Blvd Suite B Mobile AL 36608 Ph: (251) 344-7604 | Island Orthodontics Mobile 4720 Aiport Blvd Suite B Mobile AL 36608 Ph: (251) 344-7604 |
| NPI Number | 1083453278 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083453278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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