Wangzixi Llc | |
7765 Airport Blvd Ste D200 Mobile AL 36608-5059 | |
(251) 214-0130 | |
Not Available |
Full Name | Wangzixi Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 7765 Airport Blvd Ste D200, Mobile, Alabama |
Authorized Official Name and Position | Michelle Jacomino-barnes (DIRECTOR CREDENTIALING & ENROLLMENT) |
Authorized Official Contact | 8132709497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wangzixi Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Wangzixi Llc 7765 Airport Blvd Ste D200 Mobile AL 36608-5059 Ph: (251) 214-0130 |
NPI Number | 1003594839 |
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Provider Enumeration Date | 07/11/2023 |
Last Update Date | 09/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003594839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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