Medwell Duncan Dental

NPI #1942575444 in Pelham, Alabama

Provider Information

NPI Number: 1942575444
Entity Type: Organization
Organization Name: Medwell Duncan Dental
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Mar 15, 2012
Last Updated: Mar 15, 2012

Practice Location

Address: 2705 PELHAM PKWY
City: Pelham
State: Alabama
ZIP Code: 35124-1704
Phone: (205) 253-3593

Authorized Official

Name: SHAUNDA KELLY, MD
Title: CEO
Phone: (205) 514-7390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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