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Organization

SOUTHERN COMFORT DENTAL ANESTHESIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL WILSON DMD (PRESIDENT)
(720) 936-9168
Entity
Organization

Contact information

Practice address
4032 BALMORAL DR SW, HUNTSVILLE, AL 35801-6402
(720) 936-9168
Mailing address
108 MEADOWGLADE LN, MADISON, AL 35758-6851
(720) 936-9168

Taxonomy

Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary

Other

Enumeration date
09/19/2022
Last updated
09/26/2022
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