| M Gray Pond Dmd Llc | |
|
1021 Fulton Ave Gardendale AL 35071-2559 | |
| (205) 631-3743 | |
| Not Available |
| Full Name | M Gray Pond Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1021 Fulton Ave, Gardendale, Alabama |
| Authorized Official Name and Position | Margaret Pond (PRESIDENT) |
| Authorized Official Contact | 2056313743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Gray Pond Dmd Llc 1021 Fulton Ave Gardendale AL 35071-2559 Ph: (205) 631-3743 | M Gray Pond Dmd Llc 1021 Fulton Ave Gardendale AL 35071-2559 Ph: (205) 631-3743 |
| NPI Number | 1528698511 |
|---|---|
| Provider Enumeration Date | 01/19/2020 |
| Last Update Date | 01/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528698511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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