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Organization

GD AL ODA PLLC

Active
Other names
Opelika Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization

Contact information

Practice address
1929 1ST AVE, OPELIKA, AL 36801-5403
(334) 745-4663
Mailing address
1929 1ST AVE, OPELIKA, AL 36801-5403
(334) 745-4663

Taxonomy

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

Other

Enumeration date
03/17/2023
Last updated
03/17/2023
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