Organization
MILESTONE FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM PERDOMO-WATTS DMD (OWNER/DENTIST)
(251) 626-0092
Entity
Organization
Contact information
Practice address
2200 US HIGHWAY 98, SUITE 8, DAPHNE, AL 36526-4395
(251) 626-0092
(251) 626-0092
Mailing address
2200 US HIGHWAY 98, SUITE 8, DAPHNE, AL 36526-4395
(251) 626-0092
(251) 626-0092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5105
AL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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