Organization
KNOLLWOOD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MARSHALL R.D.H. (OFFICE MANAGER)
(251) 666-3982
Entity
Organization
Contact information
Practice address
5612 COTTAGE HILL RD, MOBILE, AL 36609-4211
(251) 666-3982
Mailing address
5612 COTTAGE HILL RD, MOBILE, AL 36609-4211
(251) 666-3982
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3028
AL
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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