| Mobile Dental Care Pc | |
|
515 Azalea Rd Mobile AL 36609-1501 | |
| (251) 648-8936 | |
| (251) 964-4012 |
| Full Name | Mobile Dental Care Pc |
|---|---|
| Speciality | Dentist |
| Location | 515 Azalea Rd, Mobile, Alabama |
| Authorized Official Name and Position | Uyen N Hoang (DENTIST) |
| Authorized Official Contact | 2516488936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Dental Care Pc 515 Azalea Rd Mobile AL 36609-1501 Ph: (251) 648-8936 | Mobile Dental Care Pc 515 Azalea Rd Mobile AL 36609-1501 Ph: (251) 648-8936 |
| NPI Number | 1255775979 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 04/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255775979 | NPI | - | NPPES |
| 124007 | Medicaid | AL | |
| 124009 | Medicaid | AL | |
| LNO-5776 | Other | AL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | LNO-5776 (Alabama) | Primary |
| 261QD0000X | Clinic/center - Dental | LNO-5776 (Alabama) | Secondary |
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