Organization
ISLAND ORTHODONTICS MOBILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE DYKEN DMD (OWNER/ORTHDONTIST)
(251) 223-3896
Entity
Organization
Contact information
Practice address
4720 AIPORT BLVD, SUITE B, MOBILE, AL 36608
(251) 344-7604
Mailing address
4720 AIPORT BLVD, SUITE B, MOBILE, AL 36608
(251) 344-7604
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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