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1295965721
SMILE DESIGN CENTER LLC
LANETT, AL
NPI
1295965721
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Entity Type
Organization
Authorized Contact
JAMES GRADY HAWKINS
President/Owner
334-644-2422
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2009-07-17
Last Update Date
2009-07-17
Business Address
SMILE DESIGN CENTER LLC
1601 SOUTH GILMER AVE.
LANETT, AL 36863-0549
Phone number: 334-644-2422
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Mailing Address
SMILE DESIGN CENTER LLC
PO BOX 549 1601 SOUTH GILMER AVE.
LANETT, AL 36863-0549
Phone number: 334-644-2422
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