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Organization
SAND MOUNTAIN DENTISTRY, LLC
Active
Organization
SAND MOUNTAIN DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ALLEN KIRBY DDS (DENTIST/OWNER)
(256) 891-1100
Entity
Organization
Contact information
Practice address
416 MARTLING ROAD, ALBERTVILLE, AL 35951
(256) 891-1100
(256) 891-1160
Mailing address
P O BOX 889, ALBERTVILLE, AL 35950
(256) 891-1100
(256) 891-1160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4797
AL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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