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Organization
WIREGRASS DENTAL CENTER LLC
Active
Organization
WIREGRASS DENTAL CENTER LLC
Active
Other names
Wiregrass Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA NIX UNTERKOFLER DMD (OWNER)
(334) 347-3061
Entity
Organization
Contact information
Practice address
2 E POINTE CT, ENTERPRISE, AL 36330-1392
(334) 347-3061
Mailing address
2 EAST POINTE CIRCLE, ENTERPRISE, AL 36330
(334) 347-3061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21381
AL
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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