Organization
EMBLOM & VAUGHN, D.M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G. EMBLOM DMD (DENTIST/PRESIDENT)
(334) 678-1727
Entity
Organization
Contact information
Practice address
318 HEALTHWEST DR., DOTHAN, AL 36303
(334) 678-1727
(334) 678-1521
Mailing address
318 HEALTHWEST DR., DOTHAN, AL 36303
(334) 678-1727
(334) 678-1521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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