Organization
PERIODONTAL AND IMPLANT ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER H DOOBROW DMD (OWNER/PERIODONTIST)
(256) 734-8588
Entity
Organization
Contact information
Practice address
212 4TH AVE SE, SUITE 500, CULLMAN, AL 35055-3673
(256) 734-8588
Mailing address
212 4TH AVE SE, SUITE 500, CULLMAN, AL 35055-3673
(256) 734-8588
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5578
AL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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