Organization
AFFORDABLE FAMILY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER WADE DUBE I D.M.D. (CEO)
(256) 352-4422
Entity
Organization
Contact information
Practice address
1096 COUNTRY ROAD 1579, CULLMAR, AL 35058
(256) 352-4422
Mailing address
P.O. BOX 353, HANCEVILLE, AL 35077
(256) 352-4422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5072
AL
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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