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Kdentistry26 Llc
Dental Clinic/Center in Lanett, Alabama
NPI 1356016059

Kdentistry26 Llc is a Dental Clinic/Center based in Lanett, AL and is specialized in Dental. Kdentistry26 Llc practices in Lanett, AL. The NPI Number for Kdentistry26 Llc is 1356016059 and holds a License No. (Alabama).

The current practice location address for Kdentistry26 Llc is 403 N Gilmer Ave Ste B, Lanett, AL and can be reached out via phone at 334-623-0180 and via fax at 334-623-0190.

Location: 403 N Gilmer Ave Ste B, Lanett, AL, 36863-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356016059
Provider Name
Kdentistry26 Llc
Credential
Provider Entity Type
Organization
Address
403 N Gilmer Ave Ste B, Lanett, AL, 36863-2053
Phone Number
334-623-0180
Fax Number
334-623-0190
Provider Enumeration Date
08/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841892247 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
403 N Gilmer Ave Ste B
City
Lanett
State
Alabama
Zip
36863-2053
Phone Number
334-623-0180
Fax Number
334-623-0190
person
Provider Business Mailing Address Details
Address
403 N Gilmer Ave Ste B
City
Lanett
State
Alabama
Zip
36863-2053
Phone Number
334-623-0180
Fax Number
334-623-0190
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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