Organization
TREEHOUSE CHILDREN'S DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY BURTON MOFFETT DMD (OWNER)
(256) 890-4005
Entity
Organization
Contact information
Practice address
7559 HIGHWAY 72 W STE 108, MADISON, AL 35758-8816
(256) 890-4005
(256) 890-4293
Mailing address
7559 HIGHWAY 72 W STE 108, MADISON, AL 35758-8816
(256) 890-4005
(256) 890-4293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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