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Organization
DR. BRADLEY DEGROOTE D.D.S., LLC
Active
Organization
DR. BRADLEY DEGROOTE D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DEGROOTE DDS (DENTIST)
(256) 767-3228
Entity
Organization
Contact information
Practice address
1903 BRUIN DR, FLORENCE, AL 35630-1461
(256) 767-3228
Mailing address
1903 BRUIN DR, FLORENCE, AL 35630-1461
(256) 767-3228
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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