Organization
MONROVIA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA KENNEDY (OFFICE MANAGER)
(256) 830-2095
Entity
Organization
Contact information
Practice address
1920 SLAUGHTER RD, MADISON, AL 35758-8619
(256) 830-2095
Mailing address
1920 SLAUGHTER RD, MADISON, AL 35758-8619
(256) 830-2095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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