Organization
RABBIT CREEK DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH VAN GEGZNA DMD (OWNER)
(251) 308-0584
Entity
Organization
Contact information
Practice address
5000 RANGELINE CROSSING BLVD. STE D, MOBILE, AL 36619-9517
(251) 533-7103
Mailing address
4371 RIVER OAKS LN, MOBILE, AL 36619-9570
(251) 533-7103
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
12/01/2021
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