Organization · Type 2 NPI
Wiregrass Orthodontic Specialists
Dental Clinic/Center · Dothan, AL
NPI number
1922500198
Active
Practice location
100 Obrannon Park Ave
Dothan, AL 36303-2052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5050 (AL) |
Dental Clinic/Center: Definition to come...
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About NPI 1922500198
Wiregrass Orthodontic Specialists's National Provider Identifier is 1922500198, issued on Mar 5, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dothan, AL. The record was last updated on Mar 5, 2018.