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1336973999
SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY
MOBILE, AL
NPI
1336973999
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Entity Type
Organization
Authorized Contact
WALTER P VICKERS
Owner
251-342-0380
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-08-27
Last Update Date
2024-09-18
Business Address
SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY
6154 OMNI PARK DR
MOBILE, AL 36609-5195
Phone number: 251-414-5142
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Mailing Address
SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY
6154 OMNI PARK DR
MOBILE, AL 36609-5195
Phone number: 251-414-5142
Copy
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