Organization
FAIRHOPE DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SLAVOLJUB DJURIC DDS (PRESIDENT DENTIST)
(251) 928-9930
Entity
Organization
Contact information
Practice address
10939 US HIGHWAY 98, FAIRHOPE, AL 36532-5408
(251) 928-9930
(251) 928-9956
Mailing address
10939 US HIGHWAY 98, FAIRHOPE, AL 36532-5408
(251) 928-9930
(251) 928-9956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5894
AL
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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