Cullman Dental | |
2020 2nd Ave Nw Cullman AL 35058-0464 | |
(256) 734-1400 | |
(256) 734-1500 |
Full Name | Cullman Dental |
---|---|
Speciality | Dentist |
Location | 2020 2nd Ave Nw, Cullman, Alabama |
Authorized Official Name and Position | David Yongtae Kim (DENTIST) |
Authorized Official Contact | 2567393337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cullman Dental Po Box 910 Cullman AL 35056-0910 Ph: (256) 734-1400 | Cullman Dental 2020 2nd Ave Nw Cullman AL 35058-0464 Ph: (256) 734-1400 |
NPI Number | 1790962074 |
---|---|
Provider Enumeration Date | 01/29/2008 |
Last Update Date | 01/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790962074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4937 (Alabama) | Primary |
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