Azalea City Dental, LLC
Dentist, General Practice in Mobile, AL. Organization (NPI-2).
NPI number1518127828
StatusActive
Last updated in NPPESJun 10, 2008
Details
- NPI
- 1518127828
- Entity type
- Organization (NPI-2)
- Legal business name
- Azalea City Dental, LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2008
- Last updated
- Jun 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1754 Government StMobile, AL 36604-1111
Phone 251-471-1516 · Fax 251-471-8002
Mailing address
1754 Government StMobile, AL 36604-1111
Phone 251-471-1516 · Fax 251-471-8002
Authorized official
Tracy Woodall
Office Manager
2514711516
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