DR. Mitzi M. Wade, DDS

NPI #1124203013 in Cullman, Alabama

Provider Information

NPI Number: 1124203013
Entity Type: Individual
Name: DR. Mitzi M. Wade, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 9, 2008
Last Updated: Mar 29, 2011

Practice Location

Address: 2016 MAIN AVE SW
City: Cullman
State: Alabama
ZIP Code: 35055-5239
Phone: (256) 775-0230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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