Organization
VALLEY DENTAL IMPLANT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE A PATTERSON III DMD (MEMBER)
(256) 574-6463
Entity
Organization
Contact information
Practice address
921 SOUTH BROAD ST, SCOTTSBORO, AL 35768
(256) 259-1404
(256) 259-2042
Mailing address
921 SOUTH BROAD ST, SCOTTSBORO, AL 35768
(256) 259-1404
(256) 259-2042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03792
AL
Other
Enumeration date
11/07/2006
Last updated
06/11/2015
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