NPI 1003254723

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Organisation Dentist Florence, AL

Practice location

Address: 2247 Helton Dr, Florence, AL 35630-1035
Phone: (256) 767-6453
Fax: (256) 764-5370

Authorised official

Name: Sadricia Wilson
Title: Office
Phone: (256) 767-6453

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3465 (AL)

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Registry record

NPI: 1003254723
Entity type: Organization
NPI issued: 5 Jun 2013
Record last updated: 5 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.