Organization
DECATUR DENTAL CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SELMAN (OWNER)
(256) 353-8696
Entity
Organization
Contact information
Practice address
2112A DANVILLE RD., SW, DECATUR, AL 35601
(256) 353-8696
(256) 353-7388
Mailing address
2112A DANVILLE RD., SW, DECATUR, AL 35601
(256) 353-8696
(256) 353-7388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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