Organization
KENTROS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIE L SMITH (BUSINESS ADMIN)
(205) 937-0746
Entity
Organization
Contact information
Practice address
PELHAMDENTALCARE@OUTLOOK.COM, 1973 CHANDALAR DRIVE, PELHAM, AL 35124
(205) 663-6246
(205) 663-0242
Mailing address
PELHAMDENTALCARE@OUTLOOK.COM, 1973 CHANDALAR DRIVE, PELHAM, AL 35124
(205) 663-6246
(205) 663-0242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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