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1912090986
TIMOTHY BLAKE MADDOX
WARRIOR, AL
NPI
1912090986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: AL 4944)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
TIMOTHY BLAKE MADDOX DMD
211 N MAIN STREET
WARRIOR, AL 35180
Phone number: 205-647-3181
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Mailing Address
TIMOTHY BLAKE MADDOX DMD
211 N MAIN STREET
WARRIOR, AL 35180
Phone number: 205-647-3181
Copy
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