Individual
DR. JOHN WEBSTER DESHAZO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8501 HICKORY HILL LN SE, HUNTSVILLE, AL 35802-3553
(256) 881-1291
(256) 881-1291
Mailing address
8501 HICKORY HILL LN SE, HUNTSVILLE, AL 35802-3553
(256) 881-1291
(256) 881-1291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2798
AL
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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