Organization
BROCKS GAP DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY WEST (PRACTICE ADMINISTRATOR)
(205) 982-0112
Entity
Organization
Contact information
Practice address
1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032
(205) 982-0112
Mailing address
1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032
(205) 982-0112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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