Organization
SMILECREATOR OF ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILO HERNANDEZ DDS (DOCTOR/AUTHORIZED OFFICIAL)
(256) 373-8333
Entity
Organization
Contact information
Practice address
191 HERREN CAMP RD, DADEVILLE, AL 36853-6719
(256) 373-8333
Mailing address
191 HERREN CAMP RD, DADEVILLE, AL 36853-6719
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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