Individual
DR. GARY L FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12658 SANTA PIEDRO ST, LILLIAN, AL 36549-4042
(251) 961-3737
(251) 961-3738
Mailing address
PO BOX 597, LILLIAN, AL 36549-0597
(251) 961-3737
(251) 961-3738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3585
AL
Other
Enumeration date
01/12/2006
Last updated
10/29/2008
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