Fresh Wave Dental Care | |
812 Boll Weevil Cir Enterprise AL 36330-2079 | |
(334) 347-9283 | |
Not Available |
Full Name | Fresh Wave Dental Care |
---|---|
Speciality | Dentist |
Location | 812 Boll Weevil Cir, Enterprise, Alabama |
Authorized Official Name and Position | Debbielee J Hawn (OFFICE MANGER) |
Authorized Official Contact | 3343479283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fresh Wave Dental Care 812 Boll Weevil Cir Enterprise AL 36330-2079 Ph: (334) 347-9283 | Fresh Wave Dental Care 812 Boll Weevil Cir Enterprise AL 36330-2079 Ph: (334) 347-9283 |
NPI Number | 1134392517 |
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Provider Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134392517 | NPI | - | NPPES |
51027316 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4810 (Alabama) | Primary |
News Archive
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