Individual
DR. VICKI M MAYO PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1823 SOMERVILLE RD SE, DECATUR, AL 35601-5015
(256) 355-2132
Mailing address
475 PROVIDENCE MAIN ST NW STE 301, HUNTSVILLE, AL 35806-4817
(256) 489-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5145
AL
Other
Enumeration date
04/13/2007
Last updated
07/09/2007
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