Organization
JOSHUA D MATHIS DDS LLC
Active
Other names
Bent Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA DALE MATHIS DDS (OWNER DENTIST)
(918) 852-4854
Entity
Organization
Contact information
Practice address
2311 BENT CREEK RD., STE 500, AUBURN, AL 36830
(918) 852-4854
Mailing address
731 PETRIE RD, AUBURN, AL 36830-3046
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6400
AL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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