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Organization

PELL CITY ORTHODONTICS LLC

Active
Other names
Pell City Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN SAMUELSON DMD, MS (OWNER)
(205) 910-0143
Entity
Organization

Contact information

Practice address
50 CROPWELL DR # 1, PELL CITY, AL 35128-7552
(205) 564-0426
Mailing address
50 CROPWELL DR # 1, PELL CITY, AL 35128-7552
(205) 564-0426

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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