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Organization
TARA J WHEELER DMD LLC
Active
Organization
TARA J WHEELER DMD LLC
Active
Other names
Wheeler Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TARA J WHEELER D.M.D. (OWNER, DENTIST)
(205) 616-0419
Entity
Organization
Contact information
Practice address
2127 N HICKORY ST, SUITE D, LOXLEY, AL 36551-2411
(251) 964-2671
(251) 964-2673
Mailing address
520 2ND AVE, PLEASANT GROVE, AL 35127-1757
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5751
AL
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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