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Organization
GABRIEL A. CHAMBLIN DMD
Active
Organization
GABRIEL A. CHAMBLIN DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL ALPHONSE CHAMBLIN V DMD (OWNER)
(251) 626-7675
Entity
Organization
Contact information
Practice address
6450 US HIGHWAY 90 STE D, SPANISH FORT, AL 36527-9480
(251) 626-7675
(251) 626-8194
Mailing address
6450 US HIGHWAY 90 STE D, SPANISH FORT, AL 36527-9480
(251) 626-7675
(251) 626-8194
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083705594
GENERAL DENTIST
AL
Enumeration date
02/07/2019
Last updated
02/07/2019
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