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Organization

LINCOLN FAMILY DENTISTRY

Active
Other names
Lincoln Dental Operations, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELAINE DANIEL GISSENDANER D.M.D (OWNER/CHIEF EXECUTIVE)
(256) 362-6861
Entity
Organization

Contact information

Practice address
141 MAGNOLIA ST S, LINCOLN, AL 35096-6196
(205) 763-2400
(205) 763-2404
Mailing address
141 MAGNOLIA ST S, LINCOLN, AL 35096-6196
(205) 763-2400
(205) 763-2404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4569
AL

Other

Enumeration date
04/14/2009
Last updated
04/14/2009
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