Individual
DR. SHOBHA MAHESH HOSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
553 N. EASTERN BLVD, MONTGOMERY, AL 36117
(334) 801-9800
(334) 801-9848
Mailing address
553 N. EASTERN BLVD, MONTGOMERY, AL 36117
(334) 801-9800
(334) 801-9848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6128
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003046772
—
AL
Enumeration date
07/31/2014
Last updated
04/18/2016
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