Smilecreator of Alabama LLC

NPI #1952099111 in Dadeville, Alabama

Provider Information

NPI Number
1952099111
Entity Type
Organization
Organization Name
Smilecreator of Alabama LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 26, 2023
Last Updated
Apr 26, 2023

Practice Location

Address
191 HERREN CAMP RD
State
Alabama
ZIP Code
36853-6719
Phone
(256) 373-8333

Authorized Official

Name
NILO HERNANDEZ, DDS
Title
DOCTOR/AUTHORIZED OFFICIAL
Phone
(256) 373-8333

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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