Genesis Dental Group Foley PC

NPI #1073977211 in Foley, Alabama

Provider Information

NPI Number: 1073977211
Entity Type: Organization
Organization Name: Genesis Dental Group Foley PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 13, 2016
Last Updated: Apr 13, 2016

Practice Location

Address: 100 ELECIA LN
City: Foley
State: Alabama
ZIP Code: 36535-8970
Phone: (251) 943-5088

Authorized Official

Name: MS. SUSAN M STEWART
Title: MANAGER
Phone: (334) 281-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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