Organization
KINGRY ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIPSON MARK KINGRY D.M.D. (ORTHODONTIST)
(334) 272-4900
Entity
Organization
Contact information
Practice address
8101 SEATON PL, SUITE A, MONTGOMERY, AL 36116-7205
(334) 272-4900
(334) 409-9933
Mailing address
8101 SEATON PL, SUITE A, MONTGOMERY, AL 36116-7205
(334) 272-4900
(334) 409-9933
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4440
AL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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