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Organization
LIVE DENTAL CLINIC
Active
Organization
LIVE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY JENNIFER DANIEL DDS (DENTIST)
(678) 739-6437
Entity
Organization
Contact information
Practice address
7309 US HIGHWAY 80, HOPE HULL, AL 36043-6825
(334) 741-2414
Mailing address
7309 US HIGHWAY 80, HOPE HULL, AL 36043-6825
(334) 741-2414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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