Organization
STONECREEK ACQUISTION, LLC
Active
Other names
Stonecreek Dental-Montgomery 2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C MANN DMD (DOCTOR)
(334) 265-9202
Entity
Organization
Contact information
Practice address
1901 MULBERRY ST, MONTGOMERY, AL 36106-1626
(334) 265-9202
Mailing address
1901 MULBERRY ST, MONTGOMERY, AL 36106-1626
(334) 265-9202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
06/05/2017
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