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1730757048
KEATON WALLACE HUGHES
MONTGOMERY, AL
NPI
1730757048
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Former Name
KEATON LARSON WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL D-0006892-C1)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
KEATON WALLACE HUGHES DMD
7065 FAIN PARK DR
MONTGOMERY, AL 36117-7862
Phone number: 334-279-6488
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Mailing Address
KEATON WALLACE HUGHES DMD
9266 CRESCENT LODGE CIR
PIKE ROAD, AL 36064-2583
Phone number: 770-807-5726
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