Organization
LD-HUNTSVILLE, LLC
Active
Other names
Huntsville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN S DAIGNEAULT BA, MA (ADMIN DIRECTOR)
(256) 783-9468
Entity
Organization
Contact information
Practice address
4240 BALMORAL DR SW STE 200, HUNTSVILLE, AL 35801-5633
(256) 852-9878
(662) 586-2995
Mailing address
4240 BALMORAL DR SW STE 200, HUNTSVILLE, AL 35801-5633
(256) 852-9878
(866) 256-7588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/07/2023
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