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Organization

FAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES M. CLARK D.M.D. (OWNER)
(251) 990-7797
Entity
Organization

Contact information

Practice address
101 FLY CREEK AVENUE, SUITE 301, FAIRHOPE, AL 36532
(251) 990-7797
(251) 990-7769
Mailing address
7540 CIPRIANO CT, FAIRHOPE, AL 36532-3029
(251) 990-7797

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL3834
AL

Other

Enumeration date
02/01/2011
Last updated
05/07/2015
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