Organization
PERSAUD & MAYO LLC
Active
Other names
Providence Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEWAH PERSAUD DMD (OWNER/DENTIST)
(256) 489-5600
Entity
Organization
Contact information
Practice address
475 PROVIDENCE MAIN ST NW, SUITE #301, HUNTSVILLE, AL 35806-4815
(256) 489-5600
(256) 489-5640
Mailing address
475 PROVIDENCE MAIN ST NW, SUITE #301, HUNTSVILLE, AL 35806-4815
(256) 489-5600
(256) 489-5640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5091
AL
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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