# VITAL SMILES ALABAMA II PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265999395
- **Authorized official:** PREET TAKKAR (CHIEF INFORMATION OFFICER)
- **Authorized official phone:** (714) 571-3372

## Contact information

- **Practice address:** 3700 BLUE SPRING RD NW STE F, HUNTSVILLE, AL 35810-3457
- **Practice address phone:** (256) 852-9994
- **Practice address fax:** (256) 852-7797
- **Mailing address:** 530 S MAIN ST, ORANGE, CA 92868-4525
- **Mailing address phone:** (714) 480-3000
- **Mailing address fax:** (714) 571-6445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 02/25/2019