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1053890509
SECD TUSCALOOSA LLC
TUSCALOOSA, AL
NPI
1053890509
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Entity Type
Organization
Authorized Contact
SARA NORTHCUTT
Owner, Dentist
205-915-1865
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
SECD TUSCALOOSA LLC
621 HELEN KELLER BLVD
TUSCALOOSA, AL 35404-2902
Phone number: 205-915-1865
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Mailing Address
SECD TUSCALOOSA LLC
1040 NATCHEZ VALLEY LN
FRANKLIN, TN 37064-4704
Phone number: 205-915-1865
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