Organization
ADVANCED DENTISTRY LLC
Active
Other names
Over the Mountain Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ANGEL ABRAHANTE DMD (DOCTOR)
(205) 968-1296
Entity
Organization
Contact information
Practice address
2850 CAHABA RD STE 140, MOUNTAIN BRK, AL 35223-2345
(205) 968-1296
Mailing address
2850 CAHABA RD STE 140, MOUNTAIN BRK, AL 35223-2345
(205) 968-1296
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
09/17/2024
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