Organization
COLUMBIANA FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DOYLE NETTLES D.M.D. (DENTIST)
(205) 669-6778
Entity
Organization
Contact information
Practice address
204 MILDRED ST, COLUMBIANA, AL 35051-9330
(205) 669-6778
(205) 669-6779
Mailing address
PO BOX 558, 204 MILDRED STREET, COLUMBIANA, AL 35051-0558
(205) 669-6778
(205) 669-6779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5248
AL
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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