Organization
ANTHONY DENTAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASSEN ALLEN ANTHONY D.M.D. (PRESIDENT)
(256) 355-0199
Entity
Organization
Contact information
Practice address
466 HIGHWAY 67 S, DECATUR, AL 35603-6300
(256) 355-0199
Mailing address
466 HIGHWAY 67 S, DECATUR, AL 35603-6300
(256) 355-0199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5673
AL
Other
Enumeration date
07/13/2009
Last updated
06/23/2010
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