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Organization
ADVANCED AESTHETICS DENTAL CENTER AND SPA
Active
Organization
ADVANCED AESTHETICS DENTAL CENTER AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACIE M BATTLE D.M.D. (PRESIDENT)
(251) 967-1179
Entity
Organization
Contact information
Practice address
350 CYPRESS BEND BLVD STE 102, GULF SHORES, AL 36542-2773
(251) 967-1144
Mailing address
PO BOX 852073, MOBILE, AL 36685-2073
(251) 967-1179
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5312
AL
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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