Tooth Buds at Lagoon Park, LLC
NPI #1114392107 in Montgomery, Alabama
Provider Information
- NPI Number
- 1114392107
- Entity Type
- Organization
- Organization Name
- Tooth Buds at Lagoon Park, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 2, 2015
- Last Updated
- Feb 17, 2016
Practice Location
- Address
- 553 N EASTERN BLVD
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36117-2213
- Phone
- (334) 801-9800
Authorized Official
- Name
- J. DAVID STANLEY, D.M.D.
- Title
- MEMBER/OWNER
- Phone
- (334) 801-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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