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Organization
MICHAEL ALTON CRUMP
Active
Organization
MICHAEL ALTON CRUMP
Active
Other names
Coosa Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALTON CRUMP (OWNER)
(256) 438-0080
Entity
Organization
Contact information
Practice address
104 CHERRY ST, GADSDEN, AL 35901-5235
(256) 438-0080
Mailing address
104 CHERRY ST, GADSDEN, AL 35901-5235
(256) 438-0080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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