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Shoal Creek Dental

NPI #1194216861 in Killen, Alabama

Provider Information

NPI Number
1194216861
Entity Type
Organization
Organization Name
Shoal Creek Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 29, 2018
Last Updated
May 29, 2018

Practice Location

Address
1303 HIGHWAY 72
City
Killen
State
Alabama
ZIP Code
35645-9136
Phone
(256) 757-5314

Authorized Official

Name
BRUCE EVANS, D.M.D.
Title
OWNER
Phone
(256) 766-8800

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Dental — Dental

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