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Organization
PEDIATRIC DENTAL ASSOCIATES OF CAHABA HEIGHTS, LLC
Active
Organization
PEDIATRIC DENTAL ASSOCIATES OF CAHABA HEIGHTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CHAMBLISS DDS (OWNER)
(205) 453-0314
Entity
Organization
Contact information
Practice address
4213 DOLLY RIDGE RD, VESTAVIA, AL 35243-5703
(205) 490-6850
Mailing address
4213 DOLLY RIDGE RD, VESTAVIA, AL 35243-5703
(205) 490-6850
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5181
AL
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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