Individual
DAVID DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
610 RUSTIC ST, OPELIKA, AL 36801-3434
(334) 750-2622
Mailing address
610 RUSTIC ST, OPELIKA, AL 36801-3434
(334) 750-2622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2229
AL
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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