North Mobile Dental Medicaid, LLC

NPI #1275840415 in Saraland, Alabama

Provider Information

NPI Number
1275840415
Entity Type
Organization
Organization Name
North Mobile Dental Medicaid, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 9, 2010
Last Updated
Sep 9, 2010

Practice Location

Address
1064 INDUSTRIAL PKWY
State
Alabama
ZIP Code
36571-3720
Phone
(251) 675-4313

Authorized Official

Name
DR. SHONN M FARNI, DMD
Title
OWNER
Phone
(251) 675-4313

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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