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13040 S. Wintzell Avenue Bayou, La Batre AL 36509-2110 | |
(251) 432-4117 | |
(251) 436-7765 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 13040 S. Wintzell Avenue, Bayou, La Batre, Alabama |
Authorized Official Name and Position | Charles N/a White (CEO) |
Authorized Official Contact | 2514324117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1303 Dr Martin L King Jr Ave Mobile AL 36603-5341 Ph: (251) 432-4117 | 13040 S. Wintzell Avenue Bayou, La Batre AL 36509-2110 Ph: (251) 432-4117 |
NPI Number | 1619429248 |
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Provider Enumeration Date | 10/31/2016 |
Last Update Date | 08/30/2022 |
Identifier | Type | State | Issuer |
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1619429248 | NPI | - | NPPES |