Organization
MICHAEL ALTON CRUMP
Active
Other names
Coosa Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALTON CRUMP (OWNER)
(256) 438-0080
Entity
Organization
Contact information
Practice address
104 CHERRY ST, GADSDEN, AL 35901-5235
(256) 438-0080
Mailing address
104 CHERRY ST, GADSDEN, AL 35901-5235
(256) 438-0080
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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