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4210 Alabama Highway Millbrook AL 36054 | |
(334) 285-6311 | |
(334) 517-6149 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4210 Alabama Highway, Millbrook, Alabama |
Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175408312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4210 Alabama Highway Millbrook AL 36054 Ph: (334) 285-6311 | 4210 Alabama Highway Millbrook AL 36054 Ph: (334) 285-6311 |
NPI Number | 1023415254 |
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Provider Enumeration Date | 12/03/2014 |
Last Update Date | 04/25/2018 |
Identifier | Type | State | Issuer |
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1023415254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |