Organization
MOULTHROP&PARKER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MOULTHROP D.M.D (OWNER)
(334) 793-3651
Entity
Organization
Contact information
Practice address
2431 W MAIN ST STE 601, DOTHAN, AL 36301-1270
(334) 793-3651
Mailing address
2431 W MAIN ST STE 601, DOTHAN, AL 36301-1270
(334) 793-3651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2529
AL
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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