Secd Tallassee LLC

NPI #1295264141 in Tallassee, Alabama

Provider Information

NPI Number
1295264141
Entity Type
Organization
Organization Name
Secd Tallassee LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 5, 2017
Last Updated
Jun 5, 2017

Practice Location

Address
1608 GILMER AVE
State
Alabama
ZIP Code
36078-2314

Authorized Official

Name
SARA NORTHCUTT, DDS
Title
OWNER
Phone
(615) 319-4918

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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