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1184251100
BIG WAVE DENTISTRY LLC
FOLEY, AL
NPI
1184251100
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Entity Type
Organization
Authorized Contact
BRADLEY JOSHUA HILLMAN
Dentist/Owner
501-231-7666
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
BIG WAVE DENTISTRY LLC
110 S ALSTON ST
FOLEY, AL 36535-1912
Phone number: 251-213-9820
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Mailing Address
BIG WAVE DENTISTRY LLC
635 GLEN EAGLES AVE
GULF SHORES, AL 36542-9036
Phone number:
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