LD-NORTHPORT, LLC

TUSCALOOSA, AL
NPI1114634730
Entity TypeOrganization
Authorized ContactLAUREN S DAIGNEAULT
Admin Director
256-783-9468
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2022-11-02
Last Update Date2023-07-03
Business Address
LD-NORTHPORT, LLC
1100 FAIRFAX PARK
TUSCALOOSA, AL 35406-2809
Phone number: 205-752-3506
Mailing Address
LD-NORTHPORT, LLC
1100 FAIRFAX PARK
TUSCALOOSA, AL 35406-2809
Phone number: 205-752-3506
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