Organization
SOUTH EAST DENTISTRY
Active
Other names
Ashville Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY R GILLEY (OFFICE MANAGER)
(205) 594-5171
Entity
Organization
Contact information
Practice address
125 MEDICAL CIRCLE, ASHVILLE, AL 35953
(205) 594-5171
(205) 594-7311
Mailing address
PO BOX 790, ASHVILLE, AL 35953-0000
(205) 594-5171
(205) 594-7311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL5363
AL
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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