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1184323040
WEST MADISON DENTAL LLC
MADISON, AL
NPI
1184323040
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Entity Type
Organization
Authorized Contact
ANDREW HENNINGER
Sole Member
256-617-2067
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
WEST MADISON DENTAL LLC
10871 COUNTY LINE RD STE A
MADISON, AL 35758-3668
Phone number: 256-724-3530
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Mailing Address
WEST MADISON DENTAL LLC
104 STILLMEADOW DR
MADISON, AL 35756-6100
Phone number:
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