Organization
LAKE GUNTERSVILLE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIA FLOYD (OFFICE ADMIN)
(256) 582-5652
Entity
Organization
Contact information
Practice address
1621 BLOUNT AVE, GUNTERSVILLE, AL 35976-1839
(256) 582-5652
Mailing address
1621 BLOUNT AVE, GUNTERSVILLE, AL 35976-1839
(256) 582-5652
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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