Individual
KEATON WALLACE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7065 FAIN PARK DR, MONTGOMERY, AL 36117-7862
(334) 279-6488
Mailing address
9266 CRESCENT LODGE CIR, PIKE ROAD, AL 36064-2583
(770) 807-5726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0006892-C1
AL
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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