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1437684107
JUSTIN BISHOP
DECATUR, AL
NPI
1437684107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 6413)
Enumeration Date
2017-05-01
Last Update Date
2018-03-15
Business Address
JUSTIN BISHOP D.M.D
431 JOHNSTON ST SE
DECATUR, AL 35601-3007
Phone number: 256-355-1744
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Mailing Address
JUSTIN BISHOP D.M.D
208 MAIGOLD CIR.
MADISON, AL 35758
Phone number:
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