Individual
KEITH ALAN DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9108 HELENA RD, PELHAM, AL 35124-2739
(205) 988-4530
(205) 988-8140
Mailing address
9108 HELENA RD, PELHAM, AL 35124-2739
(205) 988-4530
(205) 988-8140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3931
AL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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