Affordable Dentures & Implants - Montgomery, P.C.
Dentist, General Practice in Montgomery, AL. Organization (NPI-2).
NPI number1225801319
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1225801319
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - Montgomery, P.C.
- Organization subpart
- No
- Enumeration date
- Nov 1, 2023
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
5011 Business Park DrMontgomery, AL 36116-2695
Phone 334-613-7795
Mailing address
5011 Business Park DrMontgomery, AL 36116-2695
Phone 334-613-7795
Authorized official
Leonorda Dysart
Owner
3346137795
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