Individual
MS. MARY DICKERSON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1303 DR MARTIN L KING JR AVE, FRANKLIN PRIMARY HEALTH CENTER INC, MOBILE, AL 36603-5341
(251) 432-4117
(251) 964-4011
Mailing address
PO BOX 2048, MOBILE, AL 36652-2048
(251) 432-4117
(251) 964-4011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LNO4503
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51092208
BCBS
AL
Enumeration date
03/23/2006
Last updated
01/10/2008
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