Organization
SOUTHSIDE FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNTAL S PANDIT (OWNER)
(205) 251-6928
Entity
Organization
Contact information
Practice address
1715 11TH AVE S STE C, BIRMINGHAM, AL 35205-4704
(205) 251-6928
(205) 251-6968
Mailing address
1715 11TH AVE S STE C, BIRMINGHAM, AL 35205-4704
(205) 251-6928
(205) 251-6968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
11/15/2016
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