North Mobile Dental Medicaid, Llc | |
1064 Industrial Pkwy Saraland AL 36571-3720 | |
(251) 675-4313 | |
(251) 675-4355 |
Full Name | North Mobile Dental Medicaid, Llc |
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Speciality | Clinic/center - Dental |
Location | 1064 Industrial Pkwy, Saraland, Alabama |
Authorized Official Name and Position | Shonn M Farni (OWNER) |
Authorized Official Contact | 2516754313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Mobile Dental Medicaid, Llc 1064 Industrial Pkwy Saraland AL 36571-3720 Ph: (251) 675-4313 | North Mobile Dental Medicaid, Llc 1064 Industrial Pkwy Saraland AL 36571-3720 Ph: (251) 675-4313 |
NPI Number | 1275840415 |
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Provider Enumeration Date | 09/09/2010 |
Last Update Date | 09/09/2010 |
Identifier | Type | State | Issuer |
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1275840415 | NPI | - | NPPES |
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