Organization
VITAL SMILES ALABAMA, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DAVID JOHNSON D.D.S. (OWNER)
(205) 271-6841
Entity
Organization
Contact information
Practice address
2727 PLEASANT VALLEY RD, MOBILE, AL 36606-2162
(205) 271-6841
Mailing address
1900 CRESTWOOD BLVD, IRONDALE, AL 35210-2034
(205) 271-6841
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3061
AL
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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