Complete Dental Center Huntsville
NPI #1619207719 in Huntsville, Alabama
Provider Information
- NPI Number
- 1619207719
- Entity Type
- Organization
- Organization Name
- Complete Dental Center Huntsville
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 12, 2010
- Last Updated
- Jan 12, 2010
Practice Location
- Address
- 7540 MEMORIAL PKWY SW
- Address 2
- SUITE R
- City
- Huntsville
- State
- Alabama
- ZIP Code
- 35802-2265
- Phone
- (256) 258-0777
Authorized Official
- Name
- MRS. SHELLY M JOHNSON
- Title
- MANAGER
- Phone
- (256) 774-7228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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