Organization
DRTBC, LLC
Active
Other names
CHURCH FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRENT CHURCH DMD (OWNER)
(205) 478-3569
Entity
Organization
Contact information
Practice address
3041 ALLISON-BONNETT MEMORIAL DRIVE, HUEYTOWN, AL 35023
(205) 224-0426
Mailing address
3041 ALLISON-BONNETT MEMORIAL DRIVE, HUEYTOWN, AL 35023
(205) 224-0426
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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