Organization
DOTHAN DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY C MATTHEWS (CO-OWNER)
(334) 793-6400
Entity
Organization
Contact information
Practice address
366 HEALTHWEST DR, DOTHAN, AL 36303-1907
(334) 793-6400
Mailing address
366 HEALTHWEST DR, DOTHAN, AL 36303-1907
(334) 793-6400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2781
AL
122300000X
Dentist
Primary
5083
AL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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