Organization
VITAL SMILES ALABAMA PC
Active
Other names
Dentaid Dental Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DAVID JOHNSON JR. DDS (PRESIDENT)
(205) 271-6851
Entity
Organization
Contact information
Practice address
2727 PLEASANT VALLEY RD, MOBILE, AL 36606-2162
(251) 473-5705
Mailing address
1900 CRESTWOOD BLVD, SUITE 211, IRONDALE, AL 35210-2034
(205) 271-6851
(205) 271-6836
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4794
AL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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