Organization
MOBILE COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE VAUGHN (STAFF)
(251) 344-4994
Entity
Organization
Contact information
Practice address
4720 AIRPORT BLVD, MOBILE, AL 36608-3134
(251) 344-4994
(251) 345-8872
Mailing address
4720 AIRPORT BLVD, MOBILE, AL 36608-3134
(251) 344-4994
(251) 345-8872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3001
AL
122300000X
Dentist
5206
AL
122300000X
Dentist
5486
AL
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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