Organization
MADISON DENTAL CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SELMAN (OWNER)
(256) 774-7228
Entity
Organization
Contact information
Practice address
8097 MADISON BLVD, STE.107, MADISON, AL 35758
(256) 774-7228
(256) 774-2777
Mailing address
8097 MADISON BLVD, STE.107, MADISON, AL 35758
(256) 774-7228
(256) 774-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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