Organization
LD-MONTGOMERY, LLC
Active
Other names
River City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN S DAIGNEAULT BA, MA (ADMIN DIRECTOR)
(256) 783-9468
Entity
Organization
Contact information
Practice address
7022 VAUGHN RD, MONTGOMERY, AL 36116-1370
(334) 271-3111
(334) 271-3112
Mailing address
7022 VAUGHN RD, MONTGOMERY, AL 36116-1370
(334) 271-3111
(334) 271-3112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
07/07/2023
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