Organization
MATTHEW N. WILBANKS, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILBANKS (PRESIDENT)
(256) 764-5761
Entity
Organization
Contact information
Practice address
2801 W MALL DR, FLORENCE, AL 35630-1563
(256) 764-5761
Mailing address
2801 W MALL DR, FLORENCE, AL 35630-1563
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4822
AL
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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