TIMOTHY BLAKE MADDOX

WARRIOR, AL
NPI1912090986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  4944)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- TIMOTHY BLAKE MADDOX DMD
211 N MAIN STREET
WARRIOR, AL 35180
Phone number: 205-647-3181
Mailing Address
-- TIMOTHY BLAKE MADDOX DMD
211 N MAIN STREET
WARRIOR, AL 35180
Phone number: 205-647-3181
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