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Individual

DR. JOHN PHILIP LIGHTFOOT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4275 LOMAC ST, MONTGOMERY, AL 36106-2915
(334) 271-0440
(334) 409-0815
Mailing address
4275 LOMAC ST, MONTGOMERY, AL 36106-2915
(334) 271-0440
(334) 409-0815

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3520
AL

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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