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Organization
TRAMMELL PERIODONTICS LLC
Active
Organization
TRAMMELL PERIODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE HUGH TRAMMELL D.M.D. (SOLE MEMBER)
(334) 277-2100
Entity
Organization
Contact information
Practice address
1554 E TRINITY BLVD, MONTGOMERY, AL 36106-3609
(334) 277-2100
Mailing address
1554 E TRINITY BLVD, MONTGOMERY, AL 36106-3609
(334) 277-2100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5863
AL
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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