Organization
TUSCALOOSA FAMILY DENTAL, LLC
Active
Other names
Tuscaloosa Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY PARKER LEWIS DDS (OWNER)
(205) 451-3010
Entity
Organization
Contact information
Practice address
7402 HIGHWAY 69 S, TUSCALOOSA, AL 35405-1300
(205) 451-3010
Mailing address
1304 TREE CROSSINGS PKWY, HOOVER, AL 35244-4051
(205) 451-3010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6039
AL
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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