Organization
DENTISTRY FOR CHILDREN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA E ISHERWOOD DMD (OFFICER OWNER)
(334) 277-6830
Entity
Organization
Contact information
Practice address
5833 CARMICHAEL RD, MONTGOMERY, AL 36117
(334) 277-6830
(334) 270-2073
Mailing address
5833 CARMICHAEL RD, MONTGOMERY, AL 36117-2329
(334) 277-6830
(334) 270-2073
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528302460
—
AL
Enumeration date
06/09/2009
Last updated
06/09/2009
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