Organization
DENTISTRY TODAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE THOMAS (OFFICE MANAGER)
(256) 529-5179
Entity
Organization
Contact information
Practice address
412 E WILLOW ST, SCOTTSBORO, AL 35768-1904
(256) 574-3993
Mailing address
412 E WILLOW ST, SCOTTSBORO, AL 35768-1904
(256) 574-3993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4489
AL
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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