Organization
COMPLETE DENTAL CENTER HUNTSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY M JOHNSON (MANAGER)
(256) 774-7228
Entity
Organization
Contact information
Practice address
7540 MEMORIAL PKWY SW, SUITE R, HUNTSVILLE, AL 35802-2265
(256) 258-0777
Mailing address
120 W DUBLIN DR, SUITE 202, MADISON, AL 35758-3155
(256) 774-7228
(256) 774-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5290
AL
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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