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Organization

DOTHAN ENDO, LLC

Active
Other names
Dothan Endodontic Associates, PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE VAN CARROLL DMD (OWNER/ENDODONTIST)
(334) 793-7687
Entity
Organization

Contact information

Practice address
220 HEALTHWEST DR STE 1, DOTHAN, AL 36303-2047
(334) 793-7687
(334) 793-0067
Mailing address
220 HEALTHWEST DR STE 1, DOTHAN, AL 36303-2047
(334) 793-7687
(334) 793-0067

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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