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Organization
GRANTS MILL FAMILY DENTISTRY, LLC
Active
Organization
GRANTS MILL FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA HOLMES WILEY DMD (OWNER)
(334) 354-1384
Entity
Organization
Contact information
Practice address
1024 GRANTS MILL RD, IRONDALE, AL 35210-2108
(205) 857-3600
(205) 857-3600
Mailing address
1024 GRANTS MILL RD, IRONDALE, AL 35210-2108
(205) 857-3600
(205) 857-3600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
12/11/2020
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