Organization
GD AL MONTGOMERY PLLC
Active
Other names
Montgomery Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
8324 CROSSLAND LOOP, MONTGOMERY, AL 36117-8482
(334) 279-1166
Mailing address
8324 CROSSLAND LOOP, MONTGOMERY, AL 36117-8482
(334) 279-1166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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