Organization
ISLAND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE ALLEN DYKEN D.M.D., M.S. (PRESIDENT)
(251) 968-1310
Entity
Organization
Contact information
Practice address
241 CLUBHOUSE DR, GULF SHORES, AL 36542-3415
(251) 968-1310
(251) 968-2036
Mailing address
241 CLUBHOUSE DR, GULF SHORES, AL 36542-3415
(251) 968-1310
(251) 968-2036
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4630
AL
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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