Organization
VITAL SMILES ALABAMA PC
Active
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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