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Individual

MICHAEL ANDREW LARTIGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2020 ROSEDALE RD, MOBILE, AL 36605-3167
(251) 476-6966
(251) 476-6967
Mailing address
2020 ROSEDALE RD, MOBILE, AL 36605-3167
(251) 476-6966
(251) 476-6967

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LNO3864
AL

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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