Aesthetic and Reconstructive Dentistry, LLC

NPI #1902297690 in Madison, Alabama

Provider Information

NPI Number
1902297690
Entity Type
Organization
Organization Name
Aesthetic and Reconstructive Dentistry, LLC
Primary Specialty
Dentist - Prosthodontics
Enumeration Date
Feb 17, 2015
Last Updated
Feb 17, 2015

Practice Location

Address
1041 BALCH RD
Address 2
SUITE 180
State
Alabama
ZIP Code
35758-8343
Phone
(256) 319-3256

Authorized Official

Name
DR. CRAMIN PETER WILTZ II, DMD, CDT
Title
SOLE MEMBER
Phone
(256) 319-3256

Specialties & Taxonomy Codes

Specialty
Dental Laboratory
Dentist - ProsthodonticsProsthodontics

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