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1501 Spring Hill Ave Mobile AL 36604-3206 | |
| (251) 586-0130 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1501 Spring Hill Ave, Mobile, Alabama |
| Authorized Official Name and Position | Melanie Johnson (COMPTROLLER) |
| Authorized Official Contact | 2052716851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1900 Crestwood Blvd Ste 211 Irondale AL 35210-2034 Ph: (205) 271-6851 | 1501 Spring Hill Ave Mobile AL 36604-3206 Ph: (251) 586-0130 |
| NPI Number | 1386799526 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386799526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Alabama) | Primary |
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