AESTHETIC AND RECONSTRUCTIVE DENTISTRY, LLC
Organization (NPI-2)
Active
Dentist, Prosthodontics
Provider Information
- NPI Number
1902297690- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1041 BALCH RD SUITE 180, MADISON, AL, 357588343
- Phone
- (256) 319-3256
- Fax
- (256) 319-3257
Specialties & Taxonomies
Dental Laboratory
License: AL #233720-00
Dentist, Prosthodontics
Primary License: AL #5928