| Gd Al Sdr Pllc | |
|
4730 Woodmere Blvd Montgomery AL 36106-3065 | |
| (334) 277-5665 | |
| Not Available |
| Full Name | Gd Al Sdr Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4730 Woodmere Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Al Sdr Pllc 4730 Woodmere Blvd Montgomery AL 36106-3065 Ph: (334) 277-5665 | Gd Al Sdr Pllc 4730 Woodmere Blvd Montgomery AL 36106-3065 Ph: (334) 277-5665 |
| NPI Number | 1255033007 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255033007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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