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Pediatric Dental Associates

Dentist, Pediatric Dentistry in Gadsden, AL. Organization (NPI-2).

NPI number1265612469
StatusActive
Last updated in NPPESJun 21, 2018

Details

NPI
1265612469
Entity type
Organization (NPI-2)
Legal business name
Pediatric Dental Associates
Organization subpart
No
Enumeration date
Nov 6, 2007
Last updated
Jun 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry–ALYes

Practice location

404 S 5th St
Gadsden, AL 35901-5102

Phone 256-546-4604 · Fax 256-546-4674

Mailing address

404 S 5th St
Gadsden, AL 35901-5102

Phone 256-546-4604 · Fax 256-546-4674

Authorized official

Michael A Holmes
President
2565464604

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Other Pediatric Dentistry providers in Gadsden, AL

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