Individual
TRELLA C. DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12205 COUNTY LINE RD, SUITE A, MADISON, AL 35758-7718
(256) 425-0179
(256) 425-0183
Mailing address
12205 COUNTY LINE RD, SUITE A, MADISON, AL 35758-7718
(256) 425-0179
(256) 425-0183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4640
AL
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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