Organization
HUNTSVILLE WEST DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CHARLES (OPERATING MANAGER)
(843) 557-5396
Entity
Organization
Contact information
Practice address
4710 UNIVERSITY DR NW STE L, HUNTSVILLE, AL 35816-3408
(843) 557-5396
Mailing address
312 DELBOURNE LN, GREER, SC 29651-7196
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
06/16/2018
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