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Organization
FAIRHOPE COSMETIC AND FAMILY DENTISTRY, PC
Active
Organization
FAIRHOPE COSMETIC AND FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THEODORE MELTON JR. DMD (OWNER)
(251) 990-7797
Entity
Organization
Contact information
Practice address
101 FLY CREEK AVE STE 301, FAIRHOPE, AL 36532-8310
(251) 990-7797
Mailing address
101 FLY CREEK AVE STE 301, FAIRHOPE, AL 36532-8310
(251) 990-7797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3784
AL
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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