Organization
DR. MARVIN L. BARRON DENTAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN LEE BARRON DMD (OWNER)
(256) 638-2111
Entity
Organization
Contact information
Practice address
103 CHURCH AVENUE, RAINSVILLE CLINIC, RAINSVILLE, AL 35986
(256) 638-2111
(256) 638-6205
Mailing address
PO BOX 729, RAINSVILLE, AL 35986-0729
(256) 638-2111
(256) 638-6205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
97
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147337
—
AL
Enumeration date
09/19/2013
Last updated
09/19/2013
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