Organization
PJP DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABHAVATHI J PRATTIPATI D.M.D. (DENTIST)
(256) 378-5442
Entity
Organization
Contact information
Practice address
311 8TH AVE SW, CHILDERSBURG, AL 35044-1625
(256) 378-5442
(256) 378-5427
Mailing address
311 8TH AVE SW, CHILDERSBURG, AL 35044-1625
(256) 378-5442
(256) 378-5427
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5895
AL
Other
Enumeration date
04/27/2015
Last updated
04/08/2021
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