Organization
COMPLETE DENTAL CENTER ATHENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON W SELMAN 06271997 (OWNER)
(256) 774-7228
Entity
Organization
Contact information
Practice address
607 E HOBBS ST, ATHENS, AL 35611-2150
(256) 774-7228
(256) 464-5763
Mailing address
120 W DUBLIN DR STE 202, MADISON, AL 35758-3157
(256) 774-7228
(256) 774-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4877
AL
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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