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Organization
DENTAL ASSOCIATES OF HAMPTON COVE LLC
Active
Organization
DENTAL ASSOCIATES OF HAMPTON COVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRIE BRACE GREEN DMD (DENTIST/ PARTNER OWNER)
(915) 217-8763
Entity
Organization
Contact information
Practice address
6838 HIGHWAY 431 S STE B, OWENS CROSS ROADS, AL 35763-7201
(256) 536-8120
(256) 536-8154
Mailing address
6838B HIGHWAY 431 S STE B, OWENS CROSS ROADS, AL 35763-9224
(256) 536-8120
(256) 536-8154
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6202
AL
Other
Enumeration date
12/23/2017
Last updated
12/23/2017
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