Organization
JARVIS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN JARVIS (OWNER)
(334) 285-5688
Entity
Organization
Contact information
Practice address
2580 COBBS FORD RD, PRATTVILLE, AL 36066-7749
(334) 285-5688
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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