Family Dental Care Of Dothan, Pc

NPI 1124103288 - Dentist - 1223G0001X

NPI Details
NPI 1124103288
Enumeration Date 10/26/2006
Last Updated 08/18/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEITH A KEITH
Position OWNER
Phone (334) 792-5711
Fax (334) 678-8157
Practice Location
107 PROFESSIONAL LN
DOTHAN AL, 36303-3875, US
Phone (334) 792-5711
Fax (334) 678-8157
Business Location
107 PROFESSIONAL LN
DOTHAN AL, 36303-3875, US
Phone (334) 792-5711
Fax (334) 678-8157
Toxanomy
Taxonomy Code 1223G0001X
License State Alabama
License Number 4491
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According to our database, Family Dental Care Of Dothan, Pc NPI is 1124103288, taxonomy code is 1223G0001X and license number is 4491, license state is located at Alabama. Family Dental Care Of Dothan, Pc physically located at 107 Professional Ln, Dothan AL, 36303-3875. NPI Number 1033115704 has the healthcare provider type.

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1124103288 NPI number is provided on an as is basis without warranty of any kind. 1124103288 is maintained by the National Plan & Provider Enumeration System. The contents of Family Dental Care Of Dothan, Pc are for informational purposes only.