Tara J Wheeler Dmd LLC

NPI #1477848596 in Loxley, Alabama

Provider Information

NPI Number
1477848596
Entity Type
Organization
Organization Name
Tara J Wheeler Dmd LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 16, 2011
Last Updated
Jun 16, 2011

Practice Location

Address
2127 N HICKORY ST
Address 2
SUITE D
City
Loxley
State
Alabama
ZIP Code
36551-2411
Phone
(251) 964-2671

Authorized Official

Name
TARA J WHEELER, D.M.D.
Title
OWNER, DENTIST
Phone
(205) 616-0419

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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