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Organization
SINGING RIVER DENTISTRY TREEHOUSE KILLEN, LLC
Active
Organization
SINGING RIVER DENTISTRY TREEHOUSE KILLEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS GARDINER DMD (OWNER)
(256) 383-8037
Entity
Organization
Contact information
Practice address
1367 HIGHWAY 72, KILLEN, AL 35645-9136
(256) 272-3464
Mailing address
1367 HIGHWAY 72, KILLEN, AL 35645-9136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
07/06/2022
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