Fresh Wave Dental Care
NPI #1134392517 in Enterprise, Alabama
Provider Information
- NPI Number
- 1134392517
- Entity Type
- Organization
- Organization Name
- Fresh Wave Dental Care
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 8, 2008
- Last Updated
- Apr 8, 2008
Practice Location
- Address
- 812 BOLL WEEVIL CIR
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-2079
- Phone
- (334) 347-9283
Authorized Official
- Name
- MRS. DEBBIELEE J HAWN
- Title
- OFFICE MANGER
- Phone
- (334) 347-9283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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