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Organization
PEDIATRIC DENTAL ASSOCIATES
Active
Organization
PEDIATRIC DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A HOLMES SR. DDS (PRESIDENT)
(256) 546-4604
Entity
Organization
Contact information
Practice address
404 S 5TH ST, GADSDEN, AL 35901-5102
(256) 546-4604
(256) 546-4674
Mailing address
404 S 5TH ST, GADSDEN, AL 35901-5102
(256) 546-4604
(256) 546-4674
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
AL
Other
Enumeration date
11/06/2007
Last updated
06/21/2018
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