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Organization

FIFE FAMILY DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT NATHAN FIFE JR. D.M.D. (OWNER)
(334) 361-9959
Entity
Organization

Contact information

Practice address
1783 E MAIN ST, PRATTVILLE, AL 36066-5562
(334) 361-9959
Mailing address
1783 E MAIN ST, PRATTVILLE, AL 36066-5562
(334) 361-9959

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5795
AL

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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