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1184935959
MADISON PEDIATRIC DENTISTRY LLC
MADISON, AL
NPI
1184935959
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Entity Type
Organization
Authorized Contact
WESLEY MOFFETT
Member
205-792-0003
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2010-06-27
Last Update Date
2013-04-15
Business Address
MADISON PEDIATRIC DENTISTRY LLC
7559 HIGHWAY 72 W SUITE C7/C8
MADISON, AL 35758-8811
Phone number: 256-527-4590
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Mailing Address
MADISON PEDIATRIC DENTISTRY LLC
7559 HIGHWAY 72 W
MADISON, AL 35758-8811
Phone number: 256-527-4590
Copy
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