Alabama Department Of Rehabilitation Services
Dentist, Orthodontics and Dentofacial Orthopedics in Montgomery, AL. Organization (NPI-2).
NPI number1437202603
StatusActive
Last updated in NPPESJan 13, 2010
Details
- NPI
- 1437202603
- Entity type
- Organization (NPI-2)
- Legal business name
- Alabama Department Of Rehabilitation Services
- Organization subpart
- No
- Enumeration date
- Jan 19, 2007
- Last updated
- Jan 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Children'S Rehabilitation Service (Other Name)
Practice location
602 S Lawrence StMontgomery, AL 36104-4787
Phone 334-293-7500 · Fax 334-293-7373
Mailing address
602 S Lawrence StMontgomery, AL 36104-4787
Phone 334-293-7500 · Fax 334-293-7373
Authorized official
Cary Boswell
Commissioner
3342937500
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