Organization
AZALEA CITY DENTAL LLC
Active
Other names
Azalea City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE MARIE ALLEN (OFFICE MANAGER)
(251) 300-6100
Entity
Organization
Contact information
Practice address
6593 SPANISH FORT BLVD, SPANISH FORT, AL 36527-5015
(251) 300-6100
Mailing address
6593 SPANISH FORT BLVD, SPANISH FORT, AL 36527-5015
(251) 300-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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