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301 Saint Joseph St Mobile AL 36602-4037 | |
| (251) 433-7717 | |
| (251) 433-9384 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 Saint Joseph St, Mobile, Alabama |
| Authorized Official Name and Position | Michael Gamotis (MEMBER) |
| Authorized Official Contact | 2515917669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
301 Saint Joseph St Mobile AL 36602-4037 Ph: (251) 433-7717 | 301 Saint Joseph St Mobile AL 36602-4037 Ph: (251) 433-7717 |
| NPI Number | 1821475252 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821475252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5867 (Alabama) | Primary |
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