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Individual

ALAN VINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
16025 HWY 72, ROGERSVILLE, AL 35652-0428
(256) 247-5799
(256) 247-5902
Mailing address
PO BOX 428, 16025 HWY 72, ROGERSVILLE, AL 35652-0428
(256) 247-5799
(256) 247-5902

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3645
AL

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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