Organization
SMILE FACTORY WELLNESS DENTAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADA L FRAZIER (OWNER)
(256) 828-1500
Entity
Organization
Contact information
Practice address
11808 HWY 231 431 N, MERIDIANVILLE, AL 35759-2126
(256) 828-1500
(256) 828-1515
Mailing address
11808 HWY 231 431 N, MERIDIANVILLE, AL 35759-2126
(256) 828-1500
(256) 828-1515
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DS4310
AL
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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