Organization
COMPLETE DENTAL OF MOBILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN GARY SMALL D.M.D., M.P.H. (OWNER)
(251) 661-1003
Entity
Organization
Contact information
Practice address
5651 THREE NOTCH RD, MOBILE, AL 36619-1617
(251) 661-1003
(251) 661-2709
Mailing address
5651 THREE NOTCH RD, MOBILE, AL 36619-1617
(251) 661-1003
(251) 661-2709
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5565
AL
Other
Enumeration date
09/03/2011
Last updated
12/06/2011
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