Organization
GILLETTE DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE HAND DDS (PRESIDENT)
(251) 233-3024
Entity
Organization
Contact information
Practice address
196 ROLLING HILL DR, DAPHNE, AL 36526-7808
(251) 233-3024
Mailing address
PO BOX 1798, DAPHNE, AL 36526-1798
(251) 233-3024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
901
WY
124Q00000X
Dental Hygienist
529
WY
124Q00000X
Dental Hygienist
571
WY
124Q00000X
Dental Hygienist
837
WY
Other
Enumeration date
01/26/2006
Last updated
06/03/2010
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