Individual
DIANE LAM GEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
577 HUGHES RD, MADISON, AL 35758-8979
(256) 461-8607
Mailing address
577 HUGHES RD, MADISON, AL 35758-8979
(256) 461-8607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6107
AL
Other
Enumeration date
06/30/2014
Last updated
07/21/2022
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