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1295710838
JACK SMALLEY
TUSCALOOSA, AL
NPI
1295710838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL AL 3757)
Enumeration Date
2005-12-07
Last Update Date
2007-07-08
Business Address
Dr. JACK SMALLEY D.M.D
1100 FAIRFAX PARK
TUSCALOOSA, AL 35406-2809
Phone number: 205-752-3506
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Mailing Address
Dr. JACK SMALLEY D.M.D
1100 FAIRFAX PARK
TUSCALOOSA, AL 35406-2809
Phone number: 205-752-3506
Copy
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