Organization
GALLOWAY DENTAL IMPLANTS AND PERIODONTICS, P.C.
Active
Other names
lewis g humphreys, jr
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE M. RODRIGUEZ (ADMIN ASST.)
(334) 792-7888
Entity
Organization
Contact information
Practice address
102 MEDICAL DR, DOTHAN, AL 36303-6902
(334) 792-7888
(334) 792-8717
Mailing address
102 MEDICAL DR, DOTHAN, AL 36303-6902
(334) 792-7888
(334) 792-8717
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
3595
AL
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
09/29/2021
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