Organization
FAIRHOPE BAY DENTAL LLC
Active
Other names
Fairhope Bay Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON AVERY DDS (OWNER)
(251) 928-9930
Entity
Organization
Contact information
Practice address
10939 US HIGHWAY 98, FAIRHOPE, AL 36532-5408
(251) 928-9930
Mailing address
10939 US HIGHWAY 98, FAIRHOPE, AL 36532-5408
(251) 928-9930
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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