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Organization
ALABAMA DENTAL SPECIALIST LLC
Active
Organization
ALABAMA DENTAL SPECIALIST LLC
Active
Other names
Spectra Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY CHAPMAN (CREDENTIALING MANAGER)
(248) 842-3670
Entity
Organization
Contact information
Practice address
800 KIRTS BLVD STE 650, TROY, MI 48084-4850
(248) 842-3670
(586) 991-1933
Mailing address
800 KIRTS BLVD STE 650, TROY, MI 48084-4850
(248) 842-3670
(586) 991-1933
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
04/10/2024
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