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Organization
VITAL SMILES ALABAMA II PC
Active
Organization
VITAL SMILES ALABAMA II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PREET TAKKAR (CHIEF INFORMATION OFFICER)
(714) 571-3372
Entity
Organization
Contact information
Practice address
809 BELTLINE RD SW STE A, DECATUR, AL 35601-6337
(256) 963-0801
(256) 963-0806
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-6445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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