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Dental Public Health

Mobile, Alabama

Provider NPI: 1033512231

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 251-456-1399  Fax: 251-456-0079

Business Mailing Address:
PO BOX 2867  MOBILE, AL 36652 US
Tel: 251-690-8158  Fax: 251-544-2188

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223D0001XDental Providers
Dental Public Health

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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