Provider First Line Business Practice Location Address:
ALABAMA CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS
Provider Second Line Business Practice Location Address:
188 N FOSTER ST SUITE 203
Provider Business Practice Location Address City Name:
DOTHAN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-697-6453
Provider Business Practice Location Address Fax Number:
334-212-8467
Provider Enumeration Date:
04/12/2017