Organization
CLAY DENTAL
Active
Other names
Gulf Coast Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRADLEY CLAY DMD (PRESIDENT)
(251) 943-5632
Entity
Organization
Contact information
Practice address
7801 HIGHWAY 59, SUITE F, FOLEY, AL 36535
(251) 943-5632
Mailing address
7801 HIGHWAY 59, SUITE F, FOLEY, AL 36535
(251) 943-5632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6083C
AL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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