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Individual

GARRY CRAIG WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
106A 16TH PL, OPELIKA, AL 36801-5634
(334) 745-0119
(334) 745-0280
Mailing address
3839 COUNTY ROAD 31, NOTASULGA, AL 36866-3447
(334) 257-1256

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3986
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD3986
BOARD OF DENTAL EXAMININERS OF ALABAMA CERTIFICATE NUMBER
AL
Enumeration date
10/26/2006
Last updated
06/27/2012
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