GENESIS DENTAL GROUP OPELIKA PC

OPELIKA, AL
NPI1306382767
Entity TypeOrganization
Authorized ContactFORREST E WATERS
Owner/Treasurer
334-281-2451
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2017-01-10
Last Update Date2017-01-10
Business Address
GENESIS DENTAL GROUP OPELIKA PC
1995 PEPPERELL PKWY SUITE1
OPELIKA, AL 36801-5460
Phone number: 334-281-2451
Mailing Address
GENESIS DENTAL GROUP OPELIKA PC
3150 ZELDA CT
MONTGOMERY, AL 36106-2607
Phone number: 334-281-2451
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