Organization
BALDWIN DENTURE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDREW HANSON D.M.D (OWNER)
(251) 621-9404
Entity
Organization
Contact information
Practice address
28080 US HIGHWAY 98 STE A, DAPHNE, AL 36526-7012
(251) 621-9404
Mailing address
28080 US HIGHWAY 98 STE A, DAPHNE, AL 36526-7012
(251) 621-9404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4301
AL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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