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Individual

DR. GEORGE EARL HYDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.;P.A.

Contact information

Practice address
600 UNIVERSITY BLVD E, SUITE B-3, TUSCALOOSA, AL 35401-2067
(205) 750-8008
(205) 750-8152
Mailing address
2902 HAWTHORNE CIR, TUSCALOOSA, AL 35406-1690
(205) 750-8008
(205) 750-8152

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3428
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-93555
BCBS OF AL
AL
01
604459
UCCI
AL
Enumeration date
08/04/2006
Last updated
07/08/2007
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