Organization
MRM, LLC
Active
Other names
Dental Works
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RYAN MCCRACKEN D.M.D. (DENTIST/MANAGER)
(205) 556-6511
Entity
Organization
Contact information
Practice address
1402 VETERANS MEMORIAL PKWY, SUITE B, TUSCALOOSA, AL 35404-4790
(205) 556-6511
(205) 556-6571
Mailing address
1402 VETERANS MEMORIAL PKWY, SUITE B, TUSCALOOSA, AL 35404-4790
(205) 556-6511
(205) 556-6571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
09/17/2006
Last updated
01/25/2010
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