Organization
GISSENDANER FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE D GISSENDANER (OWNER)
(256) 362-6861
Entity
Organization
Contact information
Practice address
129 NORTH ST E, TALLADEGA, AL 35160-2188
(256) 362-6861
(256) 362-0932
Mailing address
129 NORTH ST E, TALLADEGA, AL 35160-2188
(256) 362-6861
(256) 362-0932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4569
AL
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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