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Organization

WALL STREET DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAYLA MAPLES RDH (HYGIENIST)
(256) 878-0525
Entity
Organization

Contact information

Practice address
65 WALL ST, ALBERTVILLE, AL 35951-7392
(256) 878-0525
(256) 878-0521
Mailing address
65 WALL ST, ALBERTVILLE, AL 35951-7392
(256) 878-0525
(256) 878-0521

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/10/2009
Last updated
05/15/2012
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