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Organization
SATSUMA FAMILY DENTAL PC
Active
Organization
SATSUMA FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA TEDDER (OWNER)
(251) 679-9428
Entity
Organization
Contact information
Practice address
5651 HIGHWAY 43, SATSUMA, AL 36572-2115
(251) 679-9428
Mailing address
5651 HIGHWAY 43, SATSUMA, AL 36572-2115
(251) 679-9428
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/21/2019
Last updated
07/29/2021
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