Organization
MOBILE DENTAL SERVICES OF ALABAMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENELOPE C CLINE DMD (OWNER)
(773) 329-4450
Entity
Organization
Contact information
Practice address
3231 FIELDSTONE DR SW, DECATUR, AL 35603-3173
(205) 568-4213
Mailing address
10 S RIVERSIDE PLZ, 19 EAST, CHICAGO, IL 60606-3728
(888) 970-3400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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