Organization
OASIS DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRELLA C. DUTTON DDS (OWNER)
(256) 864-9571
Entity
Organization
Contact information
Practice address
12205 COUNTY LINE RD, SUITE A, MADISON, AL 35758-7719
(256) 864-9571
(256) 864-9575
Mailing address
12205 COUNTY LINE RD, SUITE A, MADISON, AL 35758-7719
(256) 864-9571
(256) 864-9575
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4640
AL
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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