Organization
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.
Active
Other names
Mostellar Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A. HOLLAND MPH (CEO)
(251) 824-2174
Entity
Organization
Contact information
Practice address
1340 NORTH WINTZELL AVE., BAYOU LA BATRE, AL 36509
(251) 824-2347
(251) 824-4337
Mailing address
PO BOX 769, BAYOU LA BATRE, AL 36509-0769
(251) 824-2347
(251) 824-4337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2006-293
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630000015
—
AL
Enumeration date
05/23/2006
Last updated
04/20/2008
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