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Individual

GRANT TALBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1079 BALCH RD STE B, MADISON, AL 35758-8817
(256) 542-1969
(256) 542-1974
Mailing address
1079 BALCH RD STE B, MADISON, AL 35758-8817
(256) 679-9928

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6501
AL

Other

Enumeration date
06/08/2018
Last updated
07/11/2022
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