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Individual
NOEL KARL CHILDERS
Active
Individual
NOEL KARL CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3832
AL
1223P0221X
Pediatric Dentistry
8130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00687472
COMP. BENEFITS
AL
01
—
3832
DELTA DENTAL
AL
01
—
90556
BCBS PROVIDER
AL
Enumeration date
12/04/2006
Last updated
07/08/2007
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