Organization
GENESIS DENTAL GROUP HELENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMELIA BAERGEN (ADMINISTRATOR)
(334) 676-2320
Entity
Organization
Contact information
Practice address
3397 HELENA RD, HELENA, AL 35080-3243
(334) 676-2320
(334) 593-2724
Mailing address
3150 ZELDA CT, MONTGOMERY, AL 36106-2607
(334) 676-2320
(334) 593-2724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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