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Organization
HUMANA DENTAL CORPORATION
Active
Organization
HUMANA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE R ALEXANDER (DIRECTOR OF OPERATIONS)
(318) 617-8665
Entity
Organization
Contact information
Practice address
4801 CUBA MILLINGTON RD, MILLINGTON, TN 38053-5401
(318) 617-8665
(479) 252-6029
Mailing address
PO BOX 1415, GREENWOOD, AR 72936-1415
(318) 617-8665
(479) 252-6029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
02/21/2012
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