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Organization
LEW B. SAMPLE, DMD, MS, PC
Active
Organization
LEW B. SAMPLE, DMD, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLEWELLYN BAIN SAMPLE DMD (PRESIDENT)
(256) 355-5255
Entity
Organization
Contact information
Practice address
2014 DANVILLE PARK DR SW, DECATUR, AL 35603-1832
(256) 355-5255
(256) 355-8183
Mailing address
2014 DANVILLE PARK DR SW, DECATUR, AL 35603-1832
(256) 355-5255
(256) 355-8183
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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