Organization
DOTHAN COSMETIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY MATHEWS GAUNT D.M.D (OWNER)
(334) 673-7440
Entity
Organization
Contact information
Practice address
2431 W MAIN ST, SUITE 401, DOTHAN, AL 36301-1217
(334) 673-7440
(334) 673-7528
Mailing address
2431 W MAIN ST, SUITE 401, DOTHAN, AL 36301-1217
(334) 673-7440
(334) 673-7528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4432
AL
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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