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Organization

GULF COAST DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES DAVID STODDARD D.D.S. (OWNER)
(251) 948-9313
Entity
Organization

Contact information

Practice address
313 E 22ND AVE, GULF SHORES, AL 36542-3193
(251) 948-9313
(251) 948-8383
Mailing address
313 E 22ND AVE, GULF SHORES, AL 36542-3193
(251) 948-9313
(251) 948-8383

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3129
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009924875
AL
Enumeration date
08/24/2011
Last updated
08/24/2011
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