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1790066728
COMPLETE DENTAL OF MOBILE
MOBILE, AL
NPI
1790066728
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Entity Type
Organization
Authorized Contact
SHAUN GARY SMALL
Owner
251-661-1003
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: AL 5565)
Enumeration Date
2011-09-03
Last Update Date
2011-12-06
Business Address
COMPLETE DENTAL OF MOBILE
5651 THREE NOTCH RD
MOBILE, AL 36619-1617
Phone number: 251-661-1003
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Mailing Address
COMPLETE DENTAL OF MOBILE
5651 THREE NOTCH RD
MOBILE, AL 36619-1617
Phone number: 251-661-1003
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