Organization
SHELTON BEACH DENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R BRUNER D.M.D (DENTIST)
(251) 675-6730
Entity
Organization
Contact information
Practice address
623 HIGHWAY 43 S, SUITE A, SARALAND, AL 36571-3633
(251) 675-7630
(251) 675-7637
Mailing address
PO BOX 11474, MOBILE, AL 36671-0474
(251) 675-7630
(251) 675-3637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3152
AL
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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