GENESIS DENTAL GROUP LIBERTY PARK

VESTAVIA, AL
NPI1255860045
Entity TypeOrganization
Authorized ContactPAT HOLT
Administrator
334-676-2320
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2017-06-06
Last Update Date2017-06-06
Business Address
GENESIS DENTAL GROUP LIBERTY PARK
8000 LIBERTY PKWY STE 126
VESTAVIA, AL 35242-7565
Phone number: 205-879-6880
Mailing Address
GENESIS DENTAL GROUP LIBERTY PARK
3150 ZELDA CT
MONTGOMERY, AL 36106-2607
Phone number: 334-676-2320
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