Organization
LILLIAN FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIELLE E SPIVEY D.M.D. (PRESIDENT)
(601) 573-0909
Entity
Organization
Contact information
Practice address
12658 SANTA PIEDRO ST, LILLIAN, AL 36549-4042
(601) 573-0909
Mailing address
PO BOX 276, LILLIAN, AL 36549-0276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6106
AL
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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