Organization
GARDENDALE FAMILY DENTISTRY LLC
Active
Other names
Alabama Family Dentistry LLC MBR
Organization subpart
No
Provider details
NPI number
Authorized official
LASHEA DODSON (INSURANCE DEPARTMENT MANAGER)
(205) 647-3181
Entity
Organization
Contact information
Practice address
2619 DECATUR HWY, FULTONDALE, AL 35068-1723
(205) 631-7301
(205) 841-7496
Mailing address
2619 DECATUR HWY, FULTONDALE, AL 35068-1723
(205) 631-7301
(205) 841-7496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5416
AL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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